Date : 00.00.00
Name of the Patient : Abc Xylmn / F / 71 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O giddiness with fall from bed.
C/O occasional numbness on the left side of the head.
C/O gait imbalance.
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.
There is no focal area of altered signal intensity within the brain parenchyma.
There is mild fullness of both the lateral ventricles. Also seen is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Note is made of an empty sella.
No extracerebral collection is identified on this study.
The third and the fourth ventricles are 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
A1 segment of the right anterior cerebral artery is hypoplastic. 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.
No significant abnormality is detected on the intracranial and neck MRA on this study.