sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyze Medlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and neck M.R.A.

CLINICAL PROFILE :

C/O 3 episodes of weakness of the LUE and LLE for 10 minutes since the last 3 days.
C/O associated heaviness of the head and dizziness.

EXAMINATION :

The brain was screened with 5 mm thick T1 Weighted and T2 Weighted axial images and 5 mm thick FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There is an ill-defined, hyperintense signal on the T2 Weighted and FLAIR images along the right high parietal and posterior parietal cortex and in the right corona radiata. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

There is slight concentric narrowing of the cavernous segment of the right internal carotid artery. The proximal segment of the right middle cerebral artery shows attenuated signal. The distal right middle cerebral artery and its Sylvian branches are however well identified.



The petrous, cavernous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

There is seen a plaque along the postero-lateral wall of the proximal right internal carotid artery at and just distal to the right common carotid artery bifurcation with resultant slight narrowing of the origin of the right internal carotid artery.

The left common carotid artery and its bifurcation and the vertebral arteries are unremarkable.

IMPRESSION :

1. Altered signal along the right high parietal and posterior parietal cortex and in the right corona radiata most likely represent ischemic changes.

2. Slight concentric narrowing of the cavernous segment of the right internal carotid artery and attenuated signal of the proximal segment of the right middle cerebral artery may be due to atherosclerotic changes.

3. A plaque along the postero-lateral wall of the proximal right internal carotid artery at and just distal to the right common carotid artery bifurcation.