Date : 00.00.00
Name of the Patient : Abc Xyza Biwalmn / F / 58 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait ataxia since January 0000 with occasional diplopia.
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T1 Weighted and STIR coronal 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 mild fullness of the ventricular system. Also seen is prominence of the cerebellar folia bilaterally. There is mild prominence of the cerebral cortical sulci bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The posterior cerebral artery appears to be a continuation of the 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, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The left vertebral artery is slightly 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 MRI features are suggestive of :
1. Mild cerebellar atrophy.
2. No significant abnormality is detected within the supratentorial brain parenchyma or on the intracranial and neck MRA on this study.