ke/hs/nl/nl
Name of the Patient : Abc Xyzm Faizullalmn / M / 67 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O visual disturbance bilaterally.
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 no focal area of altered signal intensity within the brain parenchyma.
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is asymmetric fullness of the body of the left lateral ventricle as compared to the right (? a normal variant).
The third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of a retrocerebellar arachnoid pouch.
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.
NECK MRA :
There is slight narrowing of the distal aspect of the right common carotid artery and the origin of the right external carotid artery, posteriorly and this may be due to an atherosclerotic plaque.
The left common carotid artery and its extracranial branches appear normal bilaterally.
IMPRESSION :
1. Mild cerebral and cerebellar atrophy.
2. A plaque at the posterior aspect of the origin of the right external carotid artery and at the distal aspect of the right common carotid artery.