Date : 00.00.00
Name of the Patient : Abc Xyzalmn / M / 52 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O memory impairment and behavioral disturbances for 2 hours on 00.00.00. H/O raised blood pressure at that time. Known hypertensive on treatment.
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 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.
Inflammatory changes are noted in the ethmoidal air cells and left maxillary antrum.
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 seen a plaque along the antero-medial wall of the terminal right common carotid artery just proximal to its bifurcation with resultant stenosis of the vessel. The origin of the right external carotid artery also appears slightly compromise.
The left common carotid artery and its bifurcation and the vertebral arteries are unremarkable.
1. No significant abnormality noted within the brain parenchyma or the intracranial MRA on this study.
2. An atheromatous plaque along the antero-medial wall of the terminal right common carotid artery with resultant stenosis of the same and slight compromise of the right external carotid artery.