hs/ke
/61 Date : 00.00.00

Name of the Patient : Abc Xyzben Ghatlmn / F / 71 yrs.
Referred by : Dr. Abc Xyzndhi.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

3 mm thick T1 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

5 mm thick T1 Weighted sagittal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

NECK MRA SHOWS PATIENT MOTION.

OBSERVATION :

BRAIN :

There is a small bright focus on the FLAIR images in the right corona radiata and this may be ischemic in etiology.

There is beaking of the cerebellar tonsils and the tip is seen to lie at the foramen magnum level.


There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

The seventh and eighth cranial nerve complex on either side are unremarkable.

Note is made of an empty sella.

The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

The posterior cerebral arteries are ectatic. Hypoplasia of the right vertebral artery 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 and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

The right vertebral artery is hypoplastic. The left vertebral artery is unremarkable. The carotid arteries are ectatic.

IMPRESSION :

The MRI/MRA features are suggestive of :

1. A foci of altered signal intensity in the right corona radiata which is most likely ischemic in etiology.

2. An empty sella.