ke/hs/rg.
Date: 00.00.0000
Name of the Patient : Abc Xyzrlal T. Mlmn / M / 52 yrs.
Referred by : Dr. Abc Xyzshru.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O giddiness since 6 months.
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.
Slight ectasia of the vertebro-basilar system is seen with
indentation upon the left antero-lateral aspect of the pons.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is mild prominence of the cerebral cortical sulci. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of right maxillary sinusitis.
INTRACRANIAL MRA :
There is narrowing and vessel wall irregularity of the cavernous, supraclinoid and the petrous portion of the right internal carotid artery. Narrowing of the mid M1 portion of the right middle cerebral artery is also noted.
Slight irregularity and narrowing of the basilar artery just prior to its bifurcation is seen. The posterior cerebral arteries are faintly visualized. The vertebro-basilar system is ectatic with sluggish flow within the proximal basilar artery.
The left vertebral artery is slightly hypoplastic.
..2/.
- 2 - Scan-00004
The petrous, cavernous and supraclinoid segments of the left internal carotid artery shows normal signal and calibre. The visualized anterior cerebral, left middle cerebral and right vertebral artery also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
Filling defects are seen at the posterior aspect of both the proximal internal carotid arteries at the level of its origin and these may represent atherosclerotic plaques.
The left vertebral artery is slightly 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. No significant abnormality is detected within the brain parenchyma per se on this study.
2. Narrowing and vessel wall irregularity of the cavernous, supraclinoid and the petrous portion of the right internal carotid artery and narrowing of the mid portion of the M1 segment of the right middle cerebral artery.
2. Slight irregularity and narrowing of the basilar artery just prior to its bifurcation.
3. Faint visualization of the posterior cerebral arteries.
4. Filling defects at the posterior aspect of both the proximal internal carotid arteries at the level of its origin and these may represent atherosclerotic plaque.