Date : 00.00.00
Name of the Patient : Abc Xyz Cholmn / M / 66 yrs.
Referred by : Dr. Abc Xyzsani.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
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.
There are small areas of hyperintensity on the T2 Weighted images within the pons, thalamus, lentiform nuclei, periventricular white matter, the white matter in the fronto-parietal lobes bilaterally and in the left middle cerebellar peduncle.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is mild fullness of the ventricular system.
There is no shift of the midline structures.
Inflammatory changes are seen in the left maxillary sinus.
INTRACRANIAL MRA :
There is a slight narrowing of the cavernous segment of the left internal carotid artery with a plaque at its antero-lateral aspect.
The A1 segment of the left anterior cerebral artery is hypoplastic.
The petrous, cavernous and supraclinoid segments of the right internal carotid artery and the petrous and supraclinoid segments of the left internal carotid artery show normal signal and calibre. The visualized right 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.
The MRA features are suggestive of :
1. Areas of altered signal intensity within the pons, thalamus, lentiform nuclei, periventricular white matter, the white matter in the fronto-parietal lobes bilaterally and in the left middle cerebral peduncle are most likely ischemic in etiology.
2. Slight narrowing of the cavernous segment of the left internal carotid artery with a plaque at its antero-lateral aspect.