sb/hs/nl/rg.
/850 Date : 00.00.00
Name of the Patient : Abc Xyz Kulklmn / F / 65 yrs.
Referred by : Dr. Abc Xyzadkarni.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O momentary tingling on the right side of the body.
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.
OBSERVATION :
There are ill-defined, hyperintense areas on the T2 Weighted images in the right cerebellar hemisphere and in the subcortical white matter in the fronto-parietal regions bilaterally. These lesions most likely represent ischemic changes.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The A2 segment of the right anterior cerebral artery appears slightly hypoplastic.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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.
..2/.
NECK MRA :
The vertebral arteries appear slightly tortuous.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Altered signal in the right cerebellar hemisphere and in the subcortical white matter in the fronto-parietal regions bilaterally most likely represents ischemic changes.
2. No significant abnormality is detected on the intracranial and neck MRA on this study.