Date : 00.00.00
Name of the Patient : Abc XyzKanklmn / M / 38 yrs.
Referred by : Dr. Abc Xyzhankar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O one episode of temporary blurring of vision with decreased sensation over the LUE and face with headaches.
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.
4 mm thick FLAIR axial images.
5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There are linear/punctate areas which are near isointense to CSF in the occipito-parietal lobes bilaterally on the proton, T2 Weighted and FLAIR images. These most likely represent prominent perivascular spaces (less likely to be ischemic in etiology).
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 :
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.
The cervical spine was screened with 5 mm thick T2 Weighted sagittal images which show small postero-central disc herniation at the C5-C6 and C6-C7 levels.
No significant abnormality is detected within the brain parenchyma or on the intracranial and neck MRA on this study.