Date : 00.00.00
Name of the Patient : Abc Xyz Salmn / M / 55 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O tingling on the left side of the body since 3-4 days.
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 slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Note is made of a cavum septum pellucidum.
There is slight enlargement of the pineal gland and it is seen to measure approximately 1.2 cms in diameter. Also seen is mild indentation upon the superior collicular plate of the tectum by this lesion.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck is also hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. Enlargement of the pineal gland. If clinically indicated a dedicated study of the same may be performed.
2. Hypoplastic right vertebral artery.
3. No other significant abnormality is detected on the intracranial and neck MRA on this study.