hs/ke
/00004 Date : 00.00.00

Name of the Patient : Abc Xlmn / M / 48 yrs.
Referred by : Dr. Abc XyzBR> Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A. and
Limited Cervical Spine.

CLINICAL PROFILE :

C/O giddiness since 3 months.

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.

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

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

OBSERVATION :

BRAIN :

A lacune is noted in the left lentiform nucleus, inferiorly.

There is mild fullness of both the lateral ventricles. The third and fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, bilaterally.

The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Scan-00003


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. The anterior communicating artery on the right side appears hypoplastic. 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.

CERVICAL SPINE :

Screening T1 Weighted sagittal images and Fast Scan (T2 *) axial images of the cervical spine reveal small, postero-central protruded discs at the C4-C5, C5-C6 and C6-C7 levels. There is no cord compression. Slight facetal hypertrophy is noted at the C5-C6 level on the left.

IMPRESSION :

1. A lacune in the left lentiform nucleus, inferiorly.

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

3. Small, postero-central protruded discs at the C4-C5, C5-C6 and C6-C7 levels.