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hs/sb/rg/nl

Name of the Patient : Abc XyzUlmn / M / 23 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O tingling in the RUE and RLE for 5 minutes on 00.00.0000.

EXAMINATION :

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.

OBSERVATION :

There is an area of hyperintensity on the T2 Weighted images in the left periatrial white matter and in the left posterior temporal region and this is most likely ischemic in etiology (se/im 102/12).

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the fourth and both the lateral ventricles. The third ventricle is normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

INTRACRANIAL MRA :

The A1 segment of the right anterior cerebral artery is hypoplastic.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized left 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.
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NECK MRA :

The brachiocephalic and left common carotid arteries are seen to arise via a common trunk from the aortic arch.

The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.

IMPRESSION :

1. Altered signal in the left periatrial white matter and left posterior temporal region is most likely ischemic in etiology.

2. Mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.

3. The brachiocephalic and left common carotid arteries are seen to arise via a common trunk from the aortic arch.



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