Date : 00.00.00
Name of the Patient : Abc Xyzn Malmn / F / 70 yrs.
Referred by : Dr. Abc Xyzgaonkar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness with weakness of BLE and loss of bladder/bowel control since 2 months.
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.
Lacunar infarcts are noted in the right lentiform nucleus, bilateral thalami, left parathird ventricular region, right corona radiata and left centrum semiovale.
Ill-defined hyperintense signal on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally most likely represents ischemic changes.
There is mild dilatation of both the lateral and third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the right maxillary antrum, frontal sinuses and ethmoidal air cells bilaterally.
INTRACRANIAL MRA :
The right vertebral artery is slightly 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, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck is also hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. Lacunar infarcts in the right lentiform nucleus, bilateral thalami, left parathird ventricular region, right corona radiata and left centrum semiovale.
2. Altered signal in the posterior parietal periventricular white matter bilaterally most likely represents ischemic changes.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.