PROVISIONAL REPORT

Date : 00.00.00

Name of the Patient : Abc Xyzuranmlmn / M / 63 yrs.
Referred by : Dr. Abc Xyzpta.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O dizziness and diplopia since 2 days.
C/O headaches since several years.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick Fast Scan (T2 *) coronal images and 5 mm thick T1 Weighted sagittal images.

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

OBSERVATION :

There is a hyperintense area in the right cerebellar hemisphere anteriorly and the middle cerebellar peduncle on the T2 Weighted and Fast Scan (T2 *) images. This is hypointense to the white matter on the T1 Weighted images and suggestive of an area of infarct.

There is mild fullness of both the lateral ventricles.
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions bilaterally. There is no shift of the midline structures.







INTRACRANIAL MRA :

There is hypoplasia of the anterior communicating artery on the right side.

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 :

1. An infarct in the right cerebellar hemisphere anteriorly and in the middle cerebellar peduncle.

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


Thanks for the reference.


Please send the films back for the final report.