Date : 00.00.00
Name of the Patient : Abc Xyzn Plmn / F / 48 yrs.
Referred by : Dr. Abc Xyz Apte.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O drooping of the left eyelid 24 days back.
4 days later H/O fall with weakness of right half of body and loss of consciousness for 10 days, from which patient has partially recovered.
C/O speech dysarthria and slight weakness still persists.
H/O headaches since 1-2 months.
To r/o posterior communicating artery aneurysm.
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
SOME MOTION ARTIFACTS ARE NOTED IN THE NECK MRA.
There is evidence of subdural hematomas in the right posterior parietal region, left temporo-parieto-occipital region and in the posterior interhemispheric fissure. These lesions are hyperintense on all the pulse sequences. The maximum width of the subdural hematoma in the left temporal region is 5.0 mms and in the right posterior parietal region is about 3.0 mms. There is no significant mass effect identified.
There is no focal area of altered signal intensity within the brain parenchyma per se.
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 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 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.
Subdural hematomas in the right posterior parietal region (maximum width 3.0 mms), left temporo-parieto-occipital region (maximum width 5.0 mms) and in the posterior interhemispheric fissure.
No significant abnormality is detected on the intracranial and neck MRA on this study.