sb/ke
/69 Date : 00.00.00

Name of the Patient : Abc Xyzani Machilmn / M / 62 yrs.
Referred by : Dr. Abc Xyzlkaka / Dr. Abc Xyzpariwala.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O right hemiparesis 2 days back.
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 :

Small bright foci on the T2 Weighted images in the right cerebral peduncle, lentiform nucleii and posterior parietal periventricular white matter bilaterally, most likely represent prominent perivascular spaces.

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

Mucosal thickening is noted in the maxillary antra bilaterally and ethmoidal air cells.










INTRACRANIAL MRA :

The left vertebral artery is hypoplastic. Ectasia of the vertebro-basilar system is noted.

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.

NECK MRA :

The left vertebral artery in the neck is also hypoplastic.

A plaque is seen in the right internal carotid artery after its bifurcation along the posterior wall.

The common carotid arteries and the left bifurcation is unremarkable. Tortuousity of the internal carotid arteries in the neck is noted, bilaterally. There is no stenosis of the vessels noted.

IMPRESSION :

1. Ectatic vertebro-basilar system and internal carotid arteries in the neck.

2. Plaque along the posterior wall of the right internal carotid artery at its bifurcation.

3. Mild age related cerebral cortical atrophy.