sb/ke
Date : 00.00.00

Name of the Patient : Abc Xyzben C. lmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O single episode of seizure on 00.00.00.
Now C/O heaviness of head and giddiness.

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 subcortical white matter in the left high fronto-parietal region. This most likely represents an ischemic lesion. Similar, subtle signal intensity change is noted in the right centrum semiovale.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the right maxillary antrum.

INTRACRANIAL MRA :

There is hypoplasia of the A1 segment of the right anterior cerebral artery.






The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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 :

Slight motion artifacts are noted in some places.

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. Altered signal in the subcortical white matter in the left high fronto-parietal region and in the right centrum semiovale most likely represents ischemic lesions.

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