/98
Name of the Patient : Abc Xyzchand Blmn / M / 52 yrs.
Referred by : Dr. Abc Xyzhru.
Examination : Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O pain on the left side of the face with paresthesias.
EXAMINATION :
The brain was screened with 5 mm thick FLAIR axial and T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.
OBSERVATION :
There are small bright foci on the FLAIR images in the frontal white matter bilaterally which appear iso to hypointense to normal white matter on the T1 Weighted images and are probably ischemic in etiology.
There is mild fullness of both the lateral ventricles. The third and fourth ventricles are normal.
There is slight prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
Prominent perivascular spaces are seen in the cerebral hemispheres bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted in the left maxillary sinus.
INTRACRANIAL MRA :
The right vertebral artery is hypoplastic. The right posterior cerebral artery appears as a continuation of the right posterior communicating artery.
Minimal irregularity of the distal left posterior cerebral artery and Sylvian branches of the right middle cerebral artery is noted.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, left middle cerebral, basilar, left vertebral and right posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
NECK MRA :
The right vertebral artery is hypoplastic.
A plaque is noted along the post-lateral margin of the proximal right internal carotid artery just after the right common carotid bifurcation, without significant stenosis.
The left common carotid artery its extracranial branches and left vertebral arteries are unremarkable.
IMPRESSION :
1. Altered signal in the frontal white matter bilaterally are probably ischemic in etiology.
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2. Minimal irregularity of the distal left posterior cerebral artery and Sylvian branches of the right middle cerebral artery.
3. A plaque along the post-lateral margin of the proximal right internal carotid artery just after the right common carotid bifurcation, without significant stenosis.
As compared to the previous MRI dated 00.00.0000 there is no significant change noted.