sb/bv/nl/rg.
Date : 00.00.0000
Name of the Patient : Abc XyzThlmn / M / 80 yrs.
Referred by : Dr. Abc Xyztus.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O 2 episodes of giddiness with fall and altered sensorium since 2 days.
EXAMINATION :
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
BRAIN :
There is no focal area of altered signal intensity within the brain parenchyma.
Prominent perivascular spaces are noted bilaterally.
There is mild fullness of both the lateral and third ventricles.
The fourth ventricle is normal. There is prominence of the cerebral cortical sulci and cerebellar folia and basal cisternal spaces bilaterally. There is no shift of the midline structures.
Mucosal thickening is noted in the right maxillary sinus.
INTRACRANIAL MRA :
There is concentric narrowing on the distal cavernous and supraclinoid segment of the right internal carotid artery and supraclinoid segment of left internal carotid artery. Slight narrowing of the petrous segment of the left internal carotid artery is also noted.
The visualized 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 extracranial branches appear normal bilaterally. There are no vessel wall irregularities or stenosis of the vessels noted.
IMPRESSION :
1. Age related cerebral and cerebellar atrophy.
2. Concentric narrowing on the distal cavernous and supraclinoid segments of the right internal carotid artery and slight narrowing of the petrous segment and supraclinoid segment of the left internal carotid artery may be atherosclerotic in etiology.