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Date : 00.00.00

Name of the Patient : Abc Xyza Palmn / F / 47 yrs.
Referred by : Dr. Abc Xyzed.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O left sided hemiparesis with slurred speech in May 0000 from which patient recovered in 20 days.
Now C/O paresthesias in BUE and the LLE since then.

EXAMINATION :

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.

OBSERVATION :

There is no focal area of altered signal intensity within the brain parenchyma.

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 :

There is irregularity and narrowing of the petrous segment of the left internal carotid artery and the P2 segment of the left posterior cerebral artery. The A1 segment of the left anterior cerebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the right internal carotid artery show normal signal and calibre. The visualized right anterior cerebral, middle cerebral, basilar, vertebral and right posterior cerebral artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.


NECK MRA :

There is irregularity and concentric narrowing of the proximal 2 cms of the left internal carotid artery. The origin of the left internal carotid artery is also stenosed.

The right common carotid artery and its bifurcation is unremarkable.

IMPRESSION :

1. No significant abnormality is detected in the brain parenchyma per se.

2. Irregularity and narrowing of the petrous segment of the left internal carotid artery, P2 segment of the left posterior cerebral artery and the proximal 2 cms of the left internal carotid artery including its origin, is ? due to atherosclerosis, ?? due to vasculitis.
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