Date : 00.00.00
Name of the Patient : Abc Xyzar Sawlmn / M / 65 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness and gait ataxia since 15-20 days.
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 hyperintense areas on the T2 Weighted images in the centrum semiovale bilaterally. Similar areas are also noted in the periatrial white matter and are most likely ischemic in etiology. There is fullness of both the lateral and third ventricles. The fourth ventricle is normal.
There is prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
There is slight prominence of the basal cisternal spaces. There is no shift of the midline structures.
Incidental note is made of inflammatory changes in the sphenoid sinus and both maxillary sinuses.
INTRACRANIAL MRA :
The right posterior cerebral artery is seen to be a continuation of the right posterior communicating artery.
The right vertebral artery is slightly smaller in calibre as compared to the left and is most likely 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 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 slightly smaller in calibre as compared to the left and is most likely hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
Areas of altered signal in the centrum semiovale and in the periatrial white matter bilaterally are most likely ischemic in etiology.
No significant abnormality is detected on the intracranial and neck MRA on this study.