sb/hs/nl/rg.
/00008 Date : 00.00.00

Name of the Patient : Abc Xyzar Korgaolmn / M / 52 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O weakness of the LUE and LLE and facial weakness on the left side with bladder dysfunction since 00.00.00.
Known hypertensive.

EXAMINATION :

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.

FEW IMAGES (ESPECIALLY THE NECK MRA) SHOW PATIENT MOTION.

OBSERVATION :

There is seen a fairly large, approximately 3.0 x 4.5 x 3.0 cms sized mass lesion in the region of the right external capsule and right lentiform nucleus extending into the right corona radiata. This lesion is predominantly hypointense on the T2 Weighted images. On the T1 Weighted images, the lesion is predominantly isointense to the normal white matter with a few hyperintense areas within the lesion. There is perilesional edema with effacement of the right Sylvian cistern and compression of the right lateral and third ventricles, with mild shift of the midline structures to the left. The edema is also seen to extend into the right cerebellar peduncle.

Small bright foci on the T2 Weighted images in the left thalamus and left lentiform nucleus may represent ischemic changes.

The left lateral and the fourth ventricles are normal. A mega cisterna magna is noted. - 2 - Scan-00006/00008


Inflammatory changes are noted in the ethmoidal air cells and sphenoid sinus.

INTRACRANIAL MRA :

The right vertebral artery appears hypoplastic. The left posterior cerebral artery appears slightly attenuated. There is slight narrowing of the mid segment of the A2 segment of the right anterior cerebral artery. Slight narrowing of some of the Sylvian branches of the right middle cerebral artery is also noted.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left anterior cerebral, left middle cerebral, basilar, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.

NECK MRA :

Motion artifacts are noted in the study of the neck vessels. Tortuousity of the neck vessels is noted bilaterally. The right vertebral artery appears hypoplastic. Slight irregularity of the right carotid siphon and proximal right internal and external carotid arteries is noted.

The left vertebral artery and the left common carotid artery and its bifurcation are unremarkable.
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- 3 - Scan-00006/00008



IMPRESSION :

1. An approximately 3.0 x 4.5 x 3.0 cms sized mass lesion in the region of the right external capsule and right lentiform nucleus extending into the right corona radiata represents an acute to early subacute intracerebral hematoma.

2. Small bright foci on the T2 Weighted images in the left thalamus and left lentiform nucleus may represent ischemic changes.

3. Slight attenuation of the left posterior cerebral artery with slight narrowing of the mid segment of the A2 segment of the right anterior cerebral artery and slight narrowing of some of the Sylvian branches of the right middle cerebral artery may suggest atherosclerotic changes.