Date : 00.00.00
Name of the Patient : Abc Xyzl-Rilmn / F / 50 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with hypertension since 5 years.
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.
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the fronto-parietal lobes bilaterally. These are isointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
There is a well-circumscribed hypointense lesion on all the pulse sequences in the left frontal lobe, having a diameter of approximately 5.0 mms (se/im. 102.14, 104.14, 105.14) and is of undetermined etiology, ? old calcified granuloma.
There is fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the maxillary sinuses and ethmoidal air cells bilaterally.
INTRACRANIAL MRA :
There is slight narrowing of the right middle cerebral artery at its origin.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, left 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.
1. Altered signal within the white matter in the fronto-parietal lobes bilaterally are most likely ischemic in etiology.
2. A well-circumscribed lesion in the left frontal lobe having a diameter of approximately 5.0 mms is of undetermined etiology ( ? old calcified granuloma).
3. Slight narrowing of the right middle cerebral artery at its origin.