ke/sb/rg/nl
Date : 00.00.00

Name of the Patient : Abc XyzK. Ralmn / F / 32 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches and giddiness since 00.00.00.
Visual loss in both eyes on 00.00.00 which has recovered partially.

EXAMINATION :

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.

OBSERVATION :

There is a large hyperintense area on the T2 Weighted images in the left temporo-occipital region. A similar but smaller area is seen in the right occipital lobe. There are small bright foci in the left cerebellar hemisphere inferiorly and bilateral thalami. These are iso to hypointense to normal white matter on the T1 Weighted images and are suggestive of fresh infarcts.

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 :

There is slight narrowing of the distal portion of the P2 segment of the left posterior cerebral artery.

The left vertebral artery is hypoplastic.
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The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, right vertebral and right 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 hypoplastic.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Fresh infarcts in the left temporo-occipital region, right occipital lobe, thalami and left cerebellar hemisphere, inferiorly.

2. Slight narrowing of the distal portion of the P2 segment of the left posterior cerebral artery.