Date : 00.00.00
Name of the Patient : Abc Xyz lmn / M / 21 yrs.
Referred by : Dr. Abc Xyziya.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O vehicular accident on 00.00.00 with LOC for 48 hours with vomiting (2 times).
The brain was screened with 5 mm thick T2 Weighted and FLAIR axial images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
FEW NECK MRA IMAGES SHOW PATIENT MOTION.
There is gyral thickening in the bifrontal regions and left fronto-temporal lobes adjacent to the left Sylvian fissure. These are hyperintense on the T2 Weighted and FLAIR images. Areas of hyperintensity on the T1 Weighted images are seen within these areas and would represent subacute blood. In the given clinical setting of trauma, these lesions would represent haemorrhagic cortical contusions.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is a focal well-circumscribed area along the midportion of the left posterior cerebral artery. This, most likely represents a turn of the vessel. The possibility of an aneurysm seems less likely.
- 2 - Scan-00002
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 right 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.
The MRA features are suggestive of :
1. Haemorrhagic cortical contusions in the bifrontal regions and left fronto-temporal lobes adjacent to the left Sylvian fissure.
2. A focal well-circumscribed area along the midportion of the left posterior cerebral artery most likely represents a turn of the vessel. The possibility of an aneurysm seems less likely.
If clinically indicated a DSA would be worthwhile.