sb/hs/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzl G. lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzstak / Dr. Abc Xyzghela.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O deviation of mouth towards left side with headaches and weakness of the right great toe since 00.00.00.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

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

SOME IMAGES SHOW PATIENT MOTION.

OBSERVATION :

BRAIN :

There is an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images in the subcortical white matter in the left posterior parietal and bilateral frontal regions and in the right periatrial white matter. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.

There is mild fullness of the third and both the lateral ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures.

Inflammatory changes are noted in the maxillary sinuses bilaterally and in the frontal sinus and ethmoidal air cells on the left side.
..2/.






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 :

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

Altered signal in the subcortical white matter in the left posterior parietal and bilateral frontal regions and in the right periatrial white matter most likely represents ischemic changes.

No significant abnormality is detected on the intracranial and neck MRA on this study.