1158 Ravi

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Name : Mr.

Ravi Date : 17/05/2024


Age : 56 Y/ M Id.No.: AK24/1158
Ref.By.: Dr.S.Ramanujam MBBS., M.S (Gen Surg)., Mch (Neurosurgery).,
MRI REPORT – BRAIN WITH MR ANGIOGRAM
TECHNIQUE:
T1W Sagittal, Dw- b1000, ADC, GRE
T2W FS Axial, MR Angiogram, FLAIR Axial & Coronal

OBSERVATION:
Subacute infarct visualised in left thalamo capsular region. No evidence of
hemorrhagic transformation.
Mild bilateral cerebral and cerebellar atrophy.
Mild periventricular T2/FLAIR hyperintensity suggestive of mild small vessel
ischemic changes visualised in bilateral cerebral hemispheres,.
Few small T2/ FLAIR hyperintensities without restricted diffusion visualised in
bilateral fronto parietal white matter / corona radiata - suggestive of mild small
vessel ischemic changes/ chronic lacunar infarcts.
No evidence of fresh hemorrhage or space occupying mass lesion noted. No evidence
of midline shift visualised.
No evidence of abnormal signal intensity or volume loss in the hippocampii.
Rest of thalami, basal ganglia and internal capsules are normal on both sides.
The ventricles and sulci are normal for the age.
The pituitary gland, infundibulum and hypothalamus are normal for the age.
The posterior fossa shows normal cerebellum.
The medulla, pons and mid brain shows normal signals in all the sequences.
Both CP angles are clear. The basal cisterns are normal.
Mild pansinusitis.
MR ANGIOGRAM:
Mild suspicious reduction in caliber of supraclinoid segment of right internal carotid
artery and M1 segment of right middle cerebral artery.
Rest of Bilateral visualized internal carotid artery is normal. The anterior, rest of middle
and posterior cerebral arteries appear normal. The vertebral and basilar arteries appear
normal.
No other significant stenosis or occlusion noted.

Name : Mr.Ravi Date : 17/05/2024


Age : 56 Y/ M Id.No.: AK24/1158
Ref.By.: Dr.S.Ramanujam MBBS., M.S (Gen Surg)., Mch (Neurosurgery).,

IMPRESSION:
 Subacute infarct visualised in left thalamo capsular region. No evidence of
hemorrhagic transformation.
 Mild bilateral cerebral and cerebellar atrophy.
 Mild periventricular T2/FLAIR hyperintensity suggestive of mild small vessel
ischemic changes visualised in bilateral cerebral hemispheres,.
 Few small T2/ FLAIR hyperintensities without restricted diffusion visualised
in bilateral fronto parietal white matter / corona radiata - suggestive of mild
small vessel ischemic changes/ chronic lacunar infarcts.
 No evidence of fresh hemorrhage or space occupying mass lesion noted. No
evidence of midline shift visualised.

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