/49 Date : 00.00.0000
Name of the Patient : Abc Xyzashekhar Avalalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O gait ataxia and speech disturbance.
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
There are lacunar infarcts in the left thalamus, left lentiform nuclei, right posterior paraatrial deep white matter and right frontal deep white matter.
Hyperintense areas are seen on the proton, T2 Weighted and Flair images in the periatrial deep white matter. These are hypointense to the white matter on the T1 Weighted images and probably ischemic in etiology. Similar areas are seen to involve the posterior part of the corpus callosum.
There is mild dilatation of the ventricular system with prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of right mastoiditis and inflammatory changes in the right maxillary sinus.
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 :
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. Lacunar infarcts in the left thalamus, left lentiform nuclei, right posterior paraatrial deep white matter and right frontal deep white matter.
2. Altered signal in the periatrial deep white matter is probably ischemic in etiology.
3. No significant abnormality is detected on the intracranial and neck MRA on this study.