Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 48 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O paresthesias on the right side of the body since 1 month.
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 is no focal area of altered signal intensity within the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight narrowing and vessel wall irregularity of the distal portion of the M1 segment of the left middle cerebral artery. Also seen is slight narrowing of the cavernous segment of the left internal carotid artery.
The right vertebral artery appears hypoplastic. The vertebro-basilar system is ectatic.
The petrous and supraclinoid segments of the internal carotid arteries bilaterally and the cavernous segment of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, right middle cerebral, basilar, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery in the neck also appears hypoplastic.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
The MRI features are suggestive of slight narrowing and vessel wall irregularity of the distal portion of the M1 segment of the left middle cerebral artery and slight narrowing of the cavernous segment of the left internal carotid artery.