hs/bv/nl/nl
Name of the Patient : Abc Xyzlmn / M / 72 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain and
Intracranial and Neck M.R.A.
CLINICAL PROFILE :
C/O TIAs.
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 and 7 mm thick Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
Intracranial and neck MRA were performed with 3D TOF and 2D TOF
sequences, respectively.
OBSERVATION :
BRAIN :
There are small bright foci on the proton, T2 Weighted and FLAIR images in the frontal white matter bilaterally. These are 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. There is slight fullness of the third and fourth ventricles.
There is prominence of the cerebral cortical sulci, cerebellar folia and basal cisternal spaces bilaterally.
There is no shift of the midline structures.
Note is made of an empty sella.
Inflammatory changes are noted in the paranasal sinuses, bilaterally.
INTRACRANIAL MRA :
There is slight irregularity of the Sylvian branches of both middle cerebral arteries (left more than right) and the distal right posterior cerebral artery.
The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, basilar, vertebral and left posterior cerebral arteries also show normal signal, calibre and wall margins.
NECK MRA :
Very small filling defects are noted at the posterior aspect of the origin of both internal carotid arteries and these may represent small atheromatous plaques.
The common carotid arteries and the rest of their extracranial branches are otherwise unremarkable.
IMPRESSION :
1. Altered signal in the frontal white matter bilaterally are probably ischemic in etiology.
2. Slight irregularity of the Sylvian branches of both middle cerebral arteries (left more than right) and the distal right posterior cerebral artery.
3. Very small filling defects at the posterior aspect of the origin of both internal carotid arteries may represent small atheromatous plaques.