sb/hs
/00001 Date : 00.00.00

Name of the Patient : Abc Xyzhand J. Chlmn / M / 55 yrs.
Referred by : Dr. Abc Xyztil.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O right sided hemiparesis on 00.00.00 from which patient 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 :

Lacunar infarcts (hyperintense on the T2 Weighted images) are noted in the pons, right thalamus, head of right caudate nucleus and in the right centrum semiovale.

Ill-defined hyperintense areas on the T2 Weighted images are noted in the posterior parietal, periventricular white matter bilaterally and most likely represent ischemic changes.

There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally.

There is no shift of the midline structures.

Inflammatory changes are noted in the right maxillary antrum.





- 2 - Scan-00009/00001


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 left vertebral artery is seen to arise from the aortic arch.

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. Lacunar infarcts in the pons, right thalamus, head of right caudate nucleus and in the right centrum semiovale.

2. Altered signal in the posterior parietal, periventricular white matter bilaterally most likely represent ischemic changes.

3. Anamalous origin of the left vertebral artery from the aortic arch.

4. No other significant abnormality/anomaly is detected on the intracranial and neck MRA on this study.