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Name of the Patient : Abc Xyzha Malmn / F / 66 yrs.
Referred by : Dr. Abc Xyztil.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O numbness of the right side of the face (3 episodes) on 00.00.0000.
Known hypertensive.
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 :
Hyperintense areas on the T2 Weighted images are seen within the pons and these are most likey ischemic in etiology.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. 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.
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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 :
Altered signal intensity within the pons is most likely ischemic in etiology.
No significant abnormality is detected on the intracranial and neck MRA on this study.