/80 Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 62 yrs.
Referred by : Dr. Abc Xyznkad.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches and giddiness since 1 day.
The brain was screened with 5 mm thick T2 Weighted axial and FLAIR coronal 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.
Mild fullness of both the lateral ventricles is noted. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is an overall generalized decrease in calibre of the right internal carotid artery as compared to the left. The right anterior cerebral artery appears hypoplastic.
There is slight irregularity of the right posterior cerebral artery.
- 2 - Scan-00008/80
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal. The visualized left anterior cerebral, middle cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
Image quality is degraded as the patient was not very co-operative during the neck MRA study. There is however no significant stenosis of the neck vessels noted on this study.
1. No significant abnormality is detected within the brain parenchyma on this study.
2. An overall generalized decrease in calibre of the right internal carotid artery as compared to the left with a hypoplastic right anterior cerebral artery.
3. Slight irregularity of the right posterior cerebral artery may be atherosclerotic in etiology.