Date : 00.00.00
Name of the Patient : Abc XyzB. Bhulmn / F / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O left hemiplegia with altered behaviour since 1 week.
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 are ill-defined hyperintense areas on the T2 Weighted images in the frontal deep white matter, corona radiata and centrum semiovale on the right side. These are isointense to hypointense to the normal white matter on the T1 Weighted images and are ischemic in etiology.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. Slight prominence of the cerebral cortical sulci and cerebellar folia is noted. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is slight paucity of the Sylvian branches of the right middle cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, left 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 :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted. The right common carotid artery has a more proximal bifurcation than the left.
1. Altered signal in the frontal deep white matter, corona radiata and centrum semiovale on the right side ischemic in etiology, most likely a recent ischemic lesion.
2. Slight paucity of the Sylvian branches of the right middle cerebral artery.