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Name of the Patient : Abc Xyz Dlmn / F / 60 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O fall 1 year back from a scooter.
C/O gait ataxia with headaches.
Known hypertensive/diabetic.

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 are ill-defined, hyperintense areas on the T2 Weighted images in the posterior parietal periventricular white matter bilaterally. These most likely represent ischemic changes.

There is mild dilatation of both the lateral ventricles. The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

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.



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NECK MRA :

There is slight flattening of the carotid bulb on the left side when compared to the right.

The right common carotid artery and its bifurcation and the vertebral arteries on either side are unremarkable.

IMPRESSION :

1. Altered signal in the posterior parietal periventricular white matter bilaterally most likely represent ischemic changes.

2. Slight flattening of the carotid bulb on the left side when compared to the right.

3. No other significant abnormality is detected on the intracranial and neck MRA on this study.

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