hs/ke
Date : 00.00.00

Name of the Patient : Abc Xyzhaturlmn / F / 65 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O progressive dementia with right focal findings.

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.

SOME IMAGES SHOW PATIENT MOTION INSPITE OF SEDATION.

OBSERVATION :

Areas of hyperintensity on the T2 Weighted images are noted within the periventricular white matter, corona radiata and centrum semiovale bilaterally. These are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are seen within the pons, thalamus, lentiform nuclei and corona radiata bilaterally.

The left cerebellar hemisphere appears smaller with ? indentation upon it ? arachnoid cyst ? hypoplastic.

There is fullness of the ventricular system. Note is made of an empty sella. There is prominence of the Sylvian fissures and cerebral cortical sulci bilaterally, basal cisternal spaces and the folia of the right cerebellar hemisphere. There is slight thinning of the corpus callosum.
Scan-00008


There is no shift of the midline structures.

INTRACRANIAL MRA :

The right vertebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral 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 carotid and vertebral arteries are ectatic.

IMPRESSION :

1. Areas of altered signal within the periventricular white matter, corona radiata and centrum semiovale bilaterally are most likely ischemic in etiology.

2. Lacunar infarcts within the pons, thalamus, lentiform nuclei and corona radiata bilaterally.

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