Date : 00.00.00
Name of the Patient : Abc Xyzontralmn / M / 74 yrs.
Referred by : Dr. Abc Xyz Lalkaka.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O decreased memory with tinnitus since 1 year.
C/O decreased hearing (left more than right).
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 areas of hyperintensity on the T2 Weighted images within the periatrial and fronto-parietal white matter and the lentiform nuclei bilaterally and the left cerebellar hemisphere. These are most likely ischemic in etiology. Lacunar infarcts are noted near the haed of the right caudate nucleus and right corona radiata.
There is fullness of the third and both the lateral ventricles. There is prominence of the cerebral cortical sulci bilaterally.
The fourth ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the 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 :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
The MRA features are suggestive of :
1. Altered signal within the periatrial and fronto-parietal white matter and the lentiform nuclei bilaterally and the left cerebellar hemisphere which are most likely ischemic in etiology.
2. Lacunar infarcts near the haed of the right caudate nucleus and right corona radiata.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.