Date : 00.00.00
Name of the Patient : Abc Xyzji Nlmn / M / 73 yrs.
Referred by : Dr. Abc Xyzshar.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O right hemiparsis on 00.00.00 which has recovered partially.
Known hypertensive & diabetic.
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.
Old infarcts (lacunes) are noted in the left periatrial region, left posterior parietal region, left corona radiata and centrum semiovale. Resultant volume loss is noted in the left posterior parietal cortex.
Small bright foci on the T2 Weighted images in the pons and in the left centrum semiovale would represent ischemic changes.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and the basal cisternal spaces bilaterally. 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.
1. Old infarcts (lacunes) in the left periatrial region, left posterior parietal region, left corona radiata and centrum semiovale.
2. Altered signal in the pons and in the left centrum semiovale would represent ischemic changes.
3. Mild cerebral cortical atrophy.
4. No significant abnormality is detected on the intracranial and neck MRA on this study.