Date : 00.00.00
Name of the Patient : Abc Xyzd Jhalmn / M / 58 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O occasional gidiness with fall for a minute.
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 foci on the T2 Weighted images in the periatrial white matter and are probably ischemic in etiology.
A retrocerebellar arachnoid pouch is noted.
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 :
There is a very small filling defect in the postero-lateral aspect of the internal carotid artery on the left side just after the bifurcation of the left common carotid artery and probably represents an atherosclerotic plaque.
The common carotid arteries are unremarkable.
1. Foci of altered signal in the periatrial white matter are probably ischemic in etiology.
2. A very small filling defect in the postero-lateral aspect of the internal carotid artery on the left side just distal to its origin most probably represents an atherosclerotic plaque.