Name of the Patient : Abc Xyz Laklmn / F / 50 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O headaches, inability to open the mouth and swallow solids and paresthesias over the face since 1 year.
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 an ill-defined, hyperintense signal on the T2 Weighted images in the left cerebellar hemisphere, inferiorly which most likely represents an ischemic lesion.
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 :
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized 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.
NECK MRA :
Slight flattening of the bulb of the left common carotid artery is noted.
The right common carotid artery and its extracranial branches appear normal.
1. Altered signal in the left cerebellar hemisphere, inferiorly, may represent an ischemic lesion.
2. Flattening of the left common carotid bulb.