Female, 76 years old, with left facial droop and numbness. No evidence of restricted diffusion, parenchymal edema or mass effect is seen. A few scattered small foci of T2 hyperintensity are evident within the cerebral hemispheres and these are nonspecific. No intracranial hemorrhage or any abnormal extra axial fluid collection is detected. Ventricular size and morphology are normal.No significant stenosis or occlusion of the intracranial vasculature is evident. No intracranial aneurysms are detected within the limitations of technique. In the neck, a 2.5 cm long segment of moderate stenosis affects the left distal common carotid artery extending to the bifurcation and producing up to 50% luminal narrowing by NASCET criteria. At the very distalmost left common carotid artery, there are several outpouchings on the order of 2 to 3 mm in size which may represent ulcerated plaque or aneurysmal dilatation. No significant stenosis is seen within the left ICA beyond the carotid bifurcation. Relatively mild atherosclerotic narrowing is seen at the right carotid bifurcation without significant stenosis by NASCET criteria. The remainder of the right carotid vasculature in the neck is unremarkable. The vertebral arteries in the neck were inadvertently excluded from the field-of-view.
1.No evidence of acute ischemia or any other definite acute intracranial abnormality. Few scattered small foci of T2 hyperintensity in the cerebral hemispheres are nonspecific.2.Unremarkable MRA of the brain with no significant vascular stenosis or occlusion intracranially.3.Fairly long segment moderate atherosclerotic stenosis of the distal left common carotid artery is seen. Also noted are several small outpouchings just before the left carotid bifurcation which may represent ulcerated plaques or small aneurysms.4.Mild atherosclerotic narrowing is seen at the right carotid bifurcation. The remainder of the right carotid vasculature in the neck is without significant abnormality.5.The vertebral arteries were inadvertently excluded from the field-of-view of the MRA. The patient will be brought down to repeat the MRA of the neck at no additional charge.