ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyznt Kangulmn / M / 60 yrs.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches with nausea and giddiness since 00.00.00.
Known hypertensive. On Rx.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images.

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

OBSERVATION :

Small hyperintense areas on the T2 Weighted images are seen in the right cerebral peduncle (scan 105.8) and are probably ischemic in etiology.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of left maxillary sinusitis and inflammatory changes in the right mastoid air cells.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, 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 are small filling defect in the proximal internal carotid artery on the left side just after the left common carotid bifurcation which may be due to atherosclerotic plaques.

The common carotid arteries and their extracranial branches appear normal bilaterally.

IMPRESSION :

1. Altered signal in the right cerebral peduncle is
probably ischemic in etiology.

2. Small filling defect in the proximal internal carotid artery on the left side just after the left common carotid
bifurcation may be due to atherosclerotic plaques.