hs/sb
/57 Date : 00.00.00

Name of the Patient : Abc Xyz Vishnupurlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah / Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O sudden onset of right sided hemiparesis with inability to speak since 11.30 am on 00.00.00. Paresis recovered but speech defect persists.
Similar complaint 1 week back, recovered.

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 an ill-defined, hyperintense signal on the T2 Weighted images in the left temporo-parietal cortex and left lentiform nucleus, extending into the left corona radiata. This represents a recent infarct, which is increased in size since the previous MRI dated 00.00.00.

The ventricular system is unremarkable. There is no midline shift.

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 :

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

The left temporo-parietal and left lentiform nucleus infarct has increased in size since the previous MRI dated 00.00.00.