รบกวนหมอสมองหน่อยครับ ผมมีผล MRI ที่อ่านไม่เข้าใจ คุณหมอบอกแค่สมองฝ่อ ให้ออกกำลังกาย งดของมัน แต่ผมอยากเข้าใจว่ามันเกิดอะไรบ้างครับ ขอบคุณครับ
คนไข้เพศชาย อายุ 65ปี
MRI and MRA of the brian: (Plain)
Technique: Axial view; T1W, FLAIR, T2W, DW1, SW1 and ADC map
Sagittal view; T2W
Coronal view; T2W Hippocampal formation in T2W FLAIR and T1WR
MRA of circle of willis and neck in 3D TOF
Finding: A few old infarcts at right basal ganglia, right frontal lobe white matter and both periventricular white matter involve body corpus callosum are detected. No evidence of acute infarction on DWI sequences. An old microbleed at the left side of cingulate gyrus infarct.
Minimal atrophy of both hippocampal formation and medical temporal lobe with only prominent of choroidal fissure, L>R. MTA score of 1 which still considered appropriated with patient's age.
No evidence of acute intracerebral hemorrhage on GRE sequences.
The ventricular system is prominent in size correspond to degree of cerebral atrophy.
Generalized atrophy of cerebellum and cerebrum are noted.
No extra-axial fluid collection is detected.
Both orbits and all paranasal sinuses are unremarkable.
MRA of the NECK shows normal flow of both common carotid arteries and both internal and external carotid arteries. No area of stenosis or irregularity.
Both vertebral arteries also exhibit good flow without stenosis or irregularity.
MRA of the BRAIN shows mild irregularity of both cavernous ICA, both M1 segment, both distal MCA branches, right V4 segment, mid and distal basilar artery and both P1 segment without focal stenosis or reduce distal flow. Otherwise, normal apperance of both anterior and posterior circulation. No evidence of AVM, aneurysm or abnormal intracranial vasculature.
Impression:
1. A few old infarcts at right basal ganglia, right frontal lobe white matter and both periventricular white matter involve body corpus callosum. No evidence of acute infarct. An old microbleed at the left side of cingulate gyrus infarct.
2. Minimal atrophy of both hippocampal formation and medial temporal lobe with only prominent of chorodial fissure, L>R. MTA score of 1 which still considered appropriated with patient's age.
3. Generalized atrophy of cerebellum and cerebrum.
4. Mild irregularity of both cavernous ICA, both M1 segment, both distal MCS branches, right V4 segment, mid and distal basilar artery and both P1 segment without focal stenosis or reduce distal flow.
รบกวนหมอสมองหน่อยครับ ผมมีผล MRI ที่อ่านไม่เข้าใจ ขอบคุณครับ
คนไข้เพศชาย อายุ 65ปี
MRI and MRA of the brian: (Plain)
Technique: Axial view; T1W, FLAIR, T2W, DW1, SW1 and ADC map
Sagittal view; T2W
Coronal view; T2W Hippocampal formation in T2W FLAIR and T1WR
MRA of circle of willis and neck in 3D TOF
Finding: A few old infarcts at right basal ganglia, right frontal lobe white matter and both periventricular white matter involve body corpus callosum are detected. No evidence of acute infarction on DWI sequences. An old microbleed at the left side of cingulate gyrus infarct.
Minimal atrophy of both hippocampal formation and medical temporal lobe with only prominent of choroidal fissure, L>R. MTA score of 1 which still considered appropriated with patient's age.
No evidence of acute intracerebral hemorrhage on GRE sequences.
The ventricular system is prominent in size correspond to degree of cerebral atrophy.
Generalized atrophy of cerebellum and cerebrum are noted.
No extra-axial fluid collection is detected.
Both orbits and all paranasal sinuses are unremarkable.
MRA of the NECK shows normal flow of both common carotid arteries and both internal and external carotid arteries. No area of stenosis or irregularity.
Both vertebral arteries also exhibit good flow without stenosis or irregularity.
MRA of the BRAIN shows mild irregularity of both cavernous ICA, both M1 segment, both distal MCA branches, right V4 segment, mid and distal basilar artery and both P1 segment without focal stenosis or reduce distal flow. Otherwise, normal apperance of both anterior and posterior circulation. No evidence of AVM, aneurysm or abnormal intracranial vasculature.
Impression:
1. A few old infarcts at right basal ganglia, right frontal lobe white matter and both periventricular white matter involve body corpus callosum. No evidence of acute infarct. An old microbleed at the left side of cingulate gyrus infarct.
2. Minimal atrophy of both hippocampal formation and medial temporal lobe with only prominent of chorodial fissure, L>R. MTA score of 1 which still considered appropriated with patient's age.
3. Generalized atrophy of cerebellum and cerebrum.
4. Mild irregularity of both cavernous ICA, both M1 segment, both distal MCS branches, right V4 segment, mid and distal basilar artery and both P1 segment without focal stenosis or reduce distal flow.