Female, 61 years old, with vertigo, slurred speech. Evaluate for stroke. Minimal scattered small foci of T2 hyperintensity are seen within the cerebral hemispheres showing no significant interval change. No restricted diffusion is demonstrated. No evidence of edema or mass effect is seen. A focus of susceptibility along the right lateral ventricle may represent chronic microhemorrhage or mineralization. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The ventricles are normal in size and morphology.Conventional aortic branching is seen. The origins of the great vessels are not well assessed due to technical artifact. Otherwise no significant stenosis is detected in the carotid vessels of the neck by NASCET criteria. The right vertebral artery is well visualized and free of significant stenosis through its cervical course. The left vertebral artery is diffusely smaller than the and does not opacify as uniformly as the right which could represent atherosclerotic disease or a technical artifact. No high-grade stenosis is suspected.
1.No acute intracranial abnormality. In particular, no evidence of acute ischemia is seen.2.MRA imaging of the neck is of somewhat limited quality, but no definite high-grade vascular stenosis is suspected.