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Name of the Patient : Abc XyzGulmn / M / 71 yrs.
Referred by : Dr. Abc Xyz.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O giddiness with pain in the left ear radiating to forehead.

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 mild prominence of the cerebral cortical sulci bilaterally.

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

INTRACRANIAL MRA :

The right vertebral artery appears slightly hypoplastic with ectasia of the vertebro-basilar system.

The A1 segment of the right anterior cerebral artery appears slightly irregular.

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, left vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
..2/.






NECK MRA :

The right vertebral artery in the neck is also hypoplastic.

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. Slightly irregular A1 segment of the right anterior cerebral artery may be atherosclerotic in etiology.

2. Hypoplasia of the right vertebral artery.

3. No significant abnormality in the brain parenchyma per se.


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