Date : 00.00.00
Name of the Patient : Abc Xyzddin Bhlmn / M / 80 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O TB spondylitis 4 years back. Completed AKT.
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There are small bright foci in the left frontal deep white matter and the right centrum semiovale on the proton, T2 Weighted and FLAIR images. These are isointense to normal white matter on the T1 Weighted images and would represent ischemic changes.
A lacunar infarct is seen in the left cerebellar hemisphere. Prominent perivascular space is noted in the left lentiform nucleus.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal. There is prominence of the cerebral cortical sulci.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of left maxillary sinusitis.
INTRACRANIAL MRA :
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 common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. Small bright foci in the left frontal deep white matter and the right centrum semiovale would represent ischemic changes.
2. A lacunar infarct in the left cerebellar hemisphere.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.