sb/ke/nl/nl

Name of the Patient : Abc XyzLallmn / F / 45 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O left sided weakness.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal 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 dilatation of both the lateral and fourth ventricles. The third ventricle is normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebral cortical sulci bilaterally. There is no shift of the midline structures.

Inflammatory changes are noted in the left maxillary antrum.

INTRACRANIAL MRA :

The A1 segment of the left anterior cerebral artery and the left posterior communicating artery appears hypoplastic.

There is slight irregularity of the cavernous segment of the left internal carotid artery.






The petrous, cavernous and supraclinoid segments of the right internal carotid artery and the petrous and supraclinoid of the left internal carotid artery show normal signal and calibre. The visualized right 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 bifurcations are unremarkable bilaterally. Slight concentric narrowing of the left internal carotid artery in the neck is noted starting from about 2.0 cms distal to the left common carotid bifurcation and extending for about 3.0 cms, distally.

The vertebral arteries on either side are unremarkable.

IMPRESSION :

1. No parenchymal lesion is detected in the brain.

2. Mild dilatation of the lateral and fourth ventricles with slight prominence of the cerebral cortical sulci bilaterally.

3. Slight irregularity of the cavernous segment of the left internal carotid artery.

4. Concentric narrowing of the mid segment of the left internal carotid artery in the neck as described.