Name of the Patient : Abc XyzN. Pantlmn / M / 78 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O numbness in the RUE for 15 minutes on 00.00.0000.
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 a hyperintense signal in the right corona radiata on the T2 Weighted images and is hypointense on the T1 Weighted images and represents a lacunar infarct.
Prominent perivascular spaces are seen in the right cerebellar hemisphere and bilateral lentiform nucleus.
Hyperintense areas on the T2 Weighted images in the periatrial and fronto-parietal white matter are most likely ischemic in etiology.
There is fullness of both the lateral and third ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
INTRACRANIAL MRA :
The supraclinoid segment of the right internal carotid artery is smaller in calibre and irregular probably due to atherosclerosis. Also seen is slight narrowing of the cavernous segment of the right internal carotid artery.
- 2 - Scan-00001/3
The petrous, cavernous and supraclinoid segments of the left internal carotid artery and the petrous segment of the right internal carotid artery show normal signal and calibre. The visualized anterior cerebral, middle cerebral, posterior cerebral, basilar and vertebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
IMAGES SHOW PATIENT MOTION.
The common carotid arteries and their extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
1. A lacunar infarct in the right corona radiata.
2. Areas of altered signal in the periatrial and fronto-parietal white matter are most likely ischemic in etiology.
3. Cerebral and cerebellar atrophy.
4. Smaller calibre with irregularity of the supraclinoid segment of the right internal carotid artery. Also seen is slight narrowing of the cavernous segment of the right internal carotid artery.