sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzji A. Slmn / M / 50 yrs.
Referred by : Dr. Abc Xyz. Gala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O slurred speech with mild left sided hemiparesis since 3 days.

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 ill-defined, hyperintense areas on the T2 Weighted images in the cerebellar hemispheres bilaterally, more so, posteriorly and superiorly. These lesions appear 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 :

The left vertebral artery appears slightly hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Scan-00007




NECK MRA :

The left vertebral artery in the neck also appears hypoplastic. The right vertebral artery, the common carotid arteries and their bifurcations are unremarkable.

There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the cerebellar hemispheres bilaterally, more so, posteriorly and superiorly, represents ischemic changes, recent, in the given clinical setting.

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