ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyznd lmn / M / 55 yrs.
Referred by : Dr. Abc Xyzh / Dr. Abc Xyzhurandhar.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE:

C/O paresthesias on the right side of the body with momentary blackouts since 7 days.
Known hypertensive.

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 :

There is a hyperintense area on the T2 Weighted images in the head of the caudate nucleus on the right side and would represent an old infarct.

Small bright foci are seen on the T2 Weighted images in bilateral corona radiata suggestive of areas of ischemia/infarction. An area with similar signal is seen within the splenium on the left side.

Prominent perivascular spaces are seen in the fronto-parietal regions and lentiform nuclei bilaterally.

There is prominence of the cerebral cortical spaces in the fronto-parietal regions and of the cerebellar folia bilaterally.

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

- 2 - Scan - 00001



Incidental note is made of bilateral maxillary polyps.

INTRACRANIAL MRA :

There is slight irregularity and narrowing of the cavernous portion of the internal carotid artery on the right side which could be due to atherosclerosis.

There is faint visualization of the left posterior cerebral artery with irregularity and also could be due to atherosclerosis.

The right vertebral artery is slightly hypoplastic.

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

NECK MRA :

The right vertebral artery is slightly hypoplastic in the neck.

There is slight vessel wall irregularity of the proximal segments of the internal and external carotid arteries on the right side.

The common carotid arteries appear normal bilaterally.
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IMPRESSION :

1. An old infarct in the head of the caudate nucleus on the right side.

2. Areas of altered signal in the bilateral corona radiata and splenium of the left side are suggestive of areas of ischemia/ infarction.

3. Slight irregularity and narrowing of the cavernous portion of the internal carotid artery on the right side and of the proximal segments of the internal and external carotid arteries on the right side and which could be due to atherosclerosis.

4. Faint visualization of the left posterior cerebral artery with irregularity could also be due to atherosclerosis.