hs/sb/nl/rg.
/297
Name of the Patient : Abc Xlmn / M / 32 yrs.
Referred by : Dr. Abc Xyzouni.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

C/O headaches with weakness of the LUE and left sided facial numbness and speech disturbance.

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 evidence of an area of hyperintensity on the T2 Weighted images within the right temporo-occipital lobes and in the right corona radiata and this most likely represents a recent area of ischemia/infarction.

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 left posterior cerebral artery is seen to be a continuation of the left posterior communicating artery.

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.


NECK MRA :

There is seen a plaque along the antero-medial margin of the distal right common carotid artery, just proximal to its bifurcation with resultant slight narrowing of the same. This segment is about 1.0 cms in length.

The left common carotid artery and its bifurcation and the vertebral arteries are unremarkable.

IMPRESSION :

The MRA features are suggestive of :

1. An area of altered signal within the right temporo-occipital lobes and in the right corona radiata and this most likely represents a recent area of ischemia/infarction.

2. A plaque along the antero-medial margin of the distal right common carotid artery, just proximal to its bifurcation with resultant slight narrowing of the same.