Diagnosis: HeadacheClinical question: multiple cerebral aneurysms, r/o SAHSigns and Symptoms: sudden onset headache 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.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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. There are flow voids present where the patient's known right posterior communicating artery bilobed aneurysm is present. It appears to be at least in part embedded in the medial aspect of the right temporal lobeThe visualized portions of the paranasal sinuses demonstrate mild mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.No abnormal mass lesions are appreciated intracranially. Please refer to CT angiogram of the same date for further comments regarding the patient's aneurysm.2.No stigmata of subarachnoid hemorrhage are appreciated on this exam.