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hs/ke/nl/nl.
Date : 00.00.00

Name of the Patient : Abc XyzDlmn / M / 43 yrs.
Referred by : Dr. Abc Xyzhta (Shah).
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O momentary unconsciousness.
Now C/O numbness in the LUE and LLE since 00.00.00.

EXAMINATION :

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.

OBSERVATION :

BRAIN :

There is evidence of a well-defined area following CSF signal intensity characteristics on all the pulse sequences within the thalamus on the left side. This would represent a lacunar infarct. Adjacent to this are areas of hyperintensity on the proton, T2 Weighted and FLAIR images and this would represent gliotic/ischemic changes.

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 :

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.

IMPRESSION :

The MRI features are suggestive of a lacunar infarct within the left thalamus with adjacent areas of altered signal may represent gliotic/ischemic changes.

No significant abnormality is detected on the intracranial and neck MRA on this study.

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