dizziness, near syncope, positional vertiginous symptomsr/o cvaSyncope and collapseFuch endothelial dystrophyAsteroid hyalosis of right eyeType 2 diabetes mellitusHypertensionDyslipidemia MRI of the brainNo diffusion weighted abnormalities are appreciated.There are several periventricular white matter lesions which are bright on T2 and FLAIR MRI present which at this age are not unusual and likely of little clinical significance.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified. There is fetal origin of the posterior cerebral artery bilaterally with hypoplastic P1 segments. The left vertebral artery is larger than the right vertebral artery.
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.No evidence for acute ischemic cerebral infarction.