 The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. The right PCOM is larger than the left. There maybe a tiny fenestration within the ACOM.Focal cystic encephalomalacia is again noted in the left inferior parietal lobe laterally, just adjacent to the sylvian fissure.MRA NECK
1. Unremarkable MRA of the head, with redemonstration of left inferolateral parietal encephalomalacia.2. Limited MRA neck images with no gross abnormality.