Date : 00.00.00
Name of the Patient : Abc Xyzath Ajilmn / M / 83 yrs.
Referred by : Dr. Abc Xyzhacker.
Examination : Intracranial M.R.A.
CLINICAL PROFILE :
C/O weakness of the RUE since 1 day.
C/O difficulty in speech.
The brain was screened with 5 mm thick T2 Weighted axial images.
Intracranial MRA was performed using 3D TOF sequence.
IMAGES SHOW PATIENT MOTION.
There are ill-defined, hyperintense areas on the T2 Weighted images in the periventricular white matter bilaterally and in the subcortical white matter in the fronto-parietal regions bilaterally, including the centrum semiovale. These lesions appear iso to hypointense to normal white matter on the T1 Weighted images.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and basal cisternal spaces bilaterally. There is no shift of the midline structures.
An empty sella is noted.
Right eye pthysis bulbi is also noted.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic.
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 posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
1. Altered signal in the periventricular white matter bilaterally and in the subcortical white matter in the fronto-parietal regions bilaterally, including the centrum semiovale most likely represent ischemic changes.
2. Age related cerebral cortical atrophy.
3. No significant abnormality is detected on the intracranial MRA on this study.
The patient was not co-operative and hence the neck MRA could not be completed.