Date : 00.00.00
Name of the Patient : Abc XyzGorilmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O weakness on the right side of body with speech disturbance since 00.00.00. Patient has partially recovered.
(Weakness in the RLE still persists).
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 are ill-defined, hyperintense areas on the T2 Weighted images in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the left lentiform nucleus and in the left corona radiata.
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 posterior communicating artery is hypoplastic. The proximal segment of the right posterior cerebral artery is faintly visualized. The rest of the right posterior cerebral artery is not very well identified on this study. The left posterior cerebral artery appears to be predominantly supplied by the left posterior communicating artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar and vertebral 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 in the pons, anteriorly and to the left of the midline, right lentiform nucleus, left corona radiata and in the subcortical white matter in the posterior parietal regions bilaterally and left frontal region most likely represent ischemic changes.
2. Lacunar infarcts in the left lentiform nucleus and in the left corona radiata.
3. Faint visualization of the proximal right posterior cerebral artery.
4. No other significant abnormality on the MRA on this study.
As compared to the previous MRI (study no:00005) dated 00.00.00, there is no significant change in the parenchymal lesions on this study.