Date : 00.00.00
Name of the Patient : Abc XyzKaplmn / F / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches with one episode of vomiting since 3 days.
The brain was screened with 5 mm thick T2 Weighted axial images, 5 mm thick FLAIR coronal images and 5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
A cigar shaped, hyperintense signal on the T2 Weighted and FLAIR images is noted in the right frontal subcortical white matter, just superior to the right Sylvian cistern.
There is mild dilatation of both the lateral ventricles. The 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.
The MRI features are suggestive of altered signal in the right frontal subcortical white matter just superior to the right Sylvian cistern. This lesion is not specific for a single etiology. A demyelinating plaque or an ischemic lesion may be likely possibility.
No significant abnormality is detected on the intracranial and neck MRA on this study.