Name of the Patient : Abc Xyz Sonalmn / M / 17 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
H/O paresthesias in the right half of the body for 10 minutes on 00.00.0000.
The brain was screened with 5 mm thick T2 Weighted axial images and 3 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There is a small bright focus on the T2 Weighted and FLAIR images in the left corona radiata 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.
Inflammatory changes are noted in the right mastoid air cells.
INTRACRANIAL MRA :
The right vertebral artery is slightly hypoplastic as compared to the left.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, 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 common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. A small bright focus on the T2 Weighted and FLAIR images in the left corona radiata most likely represents an ischemic lesion (? recent, in the given clinical setting).
2. Hypoplastic right vertebral artery.
No other significant abnormality is detected on the intracranial and neck MRA on this study.