Name of the Patient : Abc XyzMajilmn / M / 58 yrs.
Referred by : Dr. Abc Xyzdy / Dr. Abc Xyzranandani.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O hearing loss on the left side with tinnitus and giddiness.
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 slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures.
INTRACRANIAL MRA :
There is concentric narrowing of the proximal posterior cerebral arteries.
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 vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
There is a plaque along the postero-lateral walls of the terminal common carotid arteries bilaterally, slightly more evident on the left side. There is however, no significant stenosis noted. The vertebral arteries are unremarkable on either side.
1. No significant abnormality is detected in the brain parenchyma per se on this study.
2. Concentric narrowing of the proximal posterior cerebral arteries, bilaterally.
3. A plaque along the postero-lateral walls of the terminal common carotid arteries bilaterally, slightly more evident on the left side without significant stenosis.