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sb/ke/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzbhai Plmn / M / 50 yrs.
Referred by : Dr. Abc Xyzsrani.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O trauma on 00.00.00 with right sided hemiparesis.
Known hypertensive. On Rx.

EXAMINATION :

M.R.I. of the brain was performed using the following parameters:

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

BRAIN :

Lacunar infarcts are noted in the pons, head of the left caudate nucleus, right lentiform nucleus and in the right thalamus.

Small bright foci on the proton and T2 Weighted images in the left frontal deep white matter would represent ischemic changes.

There is mild fullness of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

There is slight concentric narrowing of the supraclinoid segment of the right internal carotid artery.
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The petrous and cavernous segments of the internal carotid arteries bilaterally and supraclinoid segment of the left internal carotid artery 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 :

Concentric narrowing of the terminal right common carotid artery is noted with resultant mild stenosis of the same. The proximal right internal and external carotid arteries are unremarkable.

A filling defect along the postero-lateral wall of the terminal left common carotid artery may represent an atherosclerotic plaque.

The proximal left internal and external carotid arteries are unremarkable.

The vertebral arteries in the neck are also unremarkable.

IMPRESSION :

1. Lacunar infarcts in the pons, head of the left caudate nucleus, right lentiform nucleus and in the right thalamus.

2. Small bright foci in the left frontal deep white matter would represent ischemic changes.

3. Concentric narrowing of the supraclinoid segment of the right internal carotid artery.

4. Concentric narrowing of the terminal right common carotid artery with resultant mild stenosis of the same.

5. A filling defect along the postero-lateral wall of the terminal left common carotid artery may represent an atherosclerotic plaque.




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