hs/ke/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyzar lmn / M / 64 yrs.
Examination : Brain & Intracranial M.R.A.

CLINICAL PROFILE :

C/O headaches and nausea.

EXAMINATION :

The brain was examined with 5 mm thick T1 Weighted and T2 Weighted axial images and 5 mm thick FLAIR coronal images.

Intracranial MRA was performed with 3D TOF sequence.

OBSERVATION :

There are small foci of hyperintensity on the T2 Weighted and FLAIR images within the white matter in the left frontal lobe. These are iso to hypointense to white matter on the T1 Weighted images and are most likely ischemic in etiology.

There is fullness of the third and both the lateral ventricles. Note is made of an empty sella.

There is mild prominence of the cerebral cortical sulci bilaterally.

The fourth ventricle is normal. There is no shift of the midline structures.

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.




IMPRESSION :

1. An empty sella.

2. Areas of altered signal within the white matter in the left frontal lobe most likely are ischemic in etiology.

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