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/646 Date : 00.00.00

Name of the Patient : Abc Xyzalmn / M / 29 yrs.
Referred by : Dr. Abc Xyzagwati / Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.


C/O giddiness.
C/O chest pain on the left side (on and off).
Known hypertensive.


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.


The A1 segment of the left anterior cerebral artery is hypoplastic. The left posterior cerebral artery appears as a continuation of the left posterior communicating artery.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized right 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.


The brachio-cephalic artery on the right and the left common carotid artery seem to have a common origin from the aortic arch.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.


Common origin of the left common carotid artery and the brachio-cephalic artery.

No other significant abnormality is detected on the intracranial and neck MRA on this study.

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