Name of the Patient : Abc Xyzha D. Kelmn / F / 43 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O paresthesias on the left side of face and on the left half of the body for half an hour on 00.00.00.
Now C/O pain in the LUE and LLE, headaches and giddiness since then.
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.
Inflammatory changes are noted in the paranasal sinuses bilaterally.
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 :
There is slight narrowing of the distal left common carotid artery and the proximal left internal carotid artery with a plaque along the postero-lateral wall of the proximal left internal carotid artery. There is however, no significant stenosis noted.
The left vertebral artery is mildly hypoplastic.
The right common carotid artery and its bifurcation and the right vertebral artery are unremarkable.
No significant abnormality is detected in the brain parenchyma per se on this study.
A plaque along the postero-lateral wall of the left internal carotid artery without significant stenosis.