Pt. Name: LINGOJI GAJULWAD Std.

Date: 10-Jun-2022
Age: 76 Years Sex: M
Ref. Phys: DR PRAMOD DHONDE SIR Study: BRAIN SCREE+ANGIO

Reg. No :
Name : Date:

Ref By : Dr. Age: Y / Sex:

MRI BRAIN AND MR ANGIOGRAPHY

Protocol:
Multiplanar MRI of the brain was performed on MR scanner.MR angiogram was performed, using a 3D
multi-chunk inflow (TOF) sequence using 8 channel SENSE neuro-vascular coil.
Clinical Profile:
Observations:

MRI of brain

n Hyperintense area is observed involving left fronto-temporal , parietal G-W matter and
gangliocapsular region on FLAIR images showing restricted diffusion with effacement of overlying
sulci s/o acute infarct.
n Few hyperintense lesions are seen in bilateral fronto-parietal and parieto-occipital periventricular
cerebral white matter on FLAIR images none showing restricted diffusion s/o old ischemic changes.
n Few of the lesions are hypointense on T1WI and showing partial suppression on FLAIR images s/o old
infarcts, detected in right temporo parietal brain parenchyma
n Rest of the cerebral parenchyma shows no significant abnormality of note.
n Thalami appear normal.
n Cerebellum & brainstem show no significant pathology.
n No intra or extra-axial acute hemorrhage is noted.
n No significant shift of midline structures is seen.
n The cerebral sulci, cisterns and ventricular system appear unremarkable.
n Age related diffuse cerebral and cerebellar atrophy seen
n Major intracranial vessels except ICA display normal flow voids.
n The visualized adjacent soft tissues and bones are grossly normal.
 n MR Angiography of intracranial vessels:

l Generalized atherosclerotic changes are noted

l No flow detected in entire left ICA and MCA including distal branches, needs Carotid Doppler USG to
r/o proximal high grade stenosis.
l The intracranial portion of other internal carotids and both ACA and other MCA are normal.
l Vertebro-basilar junction, basilar artery and its branches, including the PCA are normal.
l There is no obvious aneurysm on this study.

Impression: MRI of Brain and MRA shows:

l Large acute infarct in left ACA , MCA territory and watershed regions as described
l Old ischemic changes in bilateral cerebral white matter .
l Gliosis in right temporo parietal brain parenchyma
l No flow detected in entire left ICA and MCA including distal branches, needs Carotid Doppler USG
to r/o proximal high grade stenosis.

Advice:

Thanks for reference,

Old history:

Dr.SANJAY S.MARAKWAD
MD (Mumbai), FRCR (UK)
Reg No 2003041709

Telereporting

In vestig a tio n s h a ve th eir lim ita tio n s. So litary pathological/Radiological investigations never confirm the final diagnosis. Conclusion is
markedly affected by input provided at that time .They only help in diagnosing the disease in correlation to clinical symptoms and other related
tests. Please interpret
accordingly.