sb/ke/nl/rg.

Name of the Patient : Abc Xyzam M. Shlmn / M / 45 yrs.
Referred by : Dr. Abc Xyznkhla.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O neckpain with giddiness since the morning of 00.00.0000.
Known hypertensive.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

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.

INTRACRANIAL MRA :

The right vertebral artery appears 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 and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
Scan-00000



NECK MRA :

There is slight irregularity along the postero-lateral wall of the proximal left internal carotid artery just distal to the left common carotid bifurcation. This suggest a plaque. There is however no significant stenosis noted.

The right common carotid artery and its bifurcations appear normal. There are no vessel wall irregularities or stenosis of the vessels noted.

The right vertebral artery appears hypoplastic.

IMPRESSION :

1. Slight irregularity along the postero-lateral wall of the proximal left internal carotid artery just distal to the left common carotid bifurcation suggests a plaque.

2. No significant abnormality is detected in the brain parenchyma per se on this study.