Date : 00.00.00
Name of the Patient : Abc Xyza Cheulmn / F / 70 yrs.
Referred by : Dr. Abc Xyzatil.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O tingling on the left side of the body since 3 days.
Similar complaints 6 months back.
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 is a focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle and this may be ischemic in etiology.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is mild fullness of the ventricular system.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.
The right posterior cerebral artery is seen to be a continuation of the right posterior communicating artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There is slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.
The common carotid arteries and their extracranial branches appear normal bilaterally.
The MRA features are suggestive of :
1. A focal hyperintensity on the T2 Weighted images within the right middle cerebellar peduncle may be ischemic in etiology.
2. Slight irregularity of the vessel wall of the mid and distal portion of the M1 segment of the left middle cerebral artery.
3. Slight narrowing of the left subclavian artery just distal to the origin of the left vertebral artery.