ke/hs
Date : 00.00.00

Name of the Patient : Abc Xyzana G. Mahlmn / F / 44 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O occasional giddiness with involuntary movements of head since 1 1/2 months.

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 are hyperintense areas on the T2 Weighted images in the lentiform nuclei, head of the caudate nucleus, periventricular white matter and bilateral corona radiata and centrum semiovale. These are suggestive of areas of ischemia/infarction.

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 :

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.



- 2 - Scan - 00003


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 :

1. Altered signal in the lentiform nuclei, head of the caudate nucleus, periventricular white matter and bilateral corona radiata and centrum semiovale are suggestive of areas of ischemia/infarction.

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