Sub Acute Infarction.

PROTOCOL:
T2W – Sagittal & axial scans
T1W – Axial scans
FLAIR – Coronal scans
DW & T2FFE (Gradient) – Axial scans
3D TOF MR angiography of the circle of Willis vessels and MIP reconstruction.

FINDINGS:

-Revealed:
• An area of altered signal is noted in the left parietal region extending from left para ventricular to the sub cortical region with length of about 35 mm. It shows hypo intensity on T1; hyper intensity on T2 and Flair while it casts restricted diffusion with T2 shine through artifact and iso intensity on ADC maps images; picture is suggestive of sub acute infarction for clinical correlation.
• Right acute maxillary sinusitis.
• Attenuated right vertebral artery.

-The rest of the brain Parenchyma shows normal grey white matter differentiation and signal intensities.  No focal mass lesion is seen.
-Lateral and third ventricles are normal in size and position. Septum is in midline.  There is no midline shift.
-Basal cisterns, cortical sulci and gyri are normal in appearance.
-Sella is normal in appearance.
-Corpus callosum shows normal MR morphology.
-Brain stem and cerebellum show normal signal intensities.
-Fourth ventricle is normal in size and is midline in position.
-the rest of the MR angiography reveals normal morphology.

OPINION:

• Left sub acute parietal infarction for clinical correlation.


For more information about infarction and DWI click here





Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin