Date : 00.00.00
Name of the Patient : Abc XyzHathlmn / F / 55 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness with fall 3-4 episodes since 1 month.
The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There is seen an ill-defined, hyperintense signal on the T2 Weighted images in the left lentiform nucleus, head of the left caudate nucleus, left temporal cortex and in the left corona radiata. This lesion appears relatively hypointense on the T1 Weighted images and represents a recent ischemic insult. This lesion was not well appreciated on the previous MRI dated 00.00.00.
Ischemic lesions in the thalami bilaterally, the left corona radiata posteriorly and in the left cerebellar hemisphere and the lacunar infarcts previously described are unchanged from the previous study.
The agenetic corpus callosum, interhemispheric cyst and the status of the ventricles are also unchanged.
INTRACRANIAL MRA :
The anterior cerebral arteries are pulled slightly superiorly.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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.
1. Altered signal in the left lentiform nucleus, head of the left caudate nucleus, left temporal cortex and in the left corona radiata represents a recent ischemic insult which was not well appreciated on the previous MRI dated 00.00.00.
2. The lacunar infarcts and the ischemic lesions described previously are unchanged. The congenital defects too are unchanged.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.