Reason: hemoglobin SS c/o memory loss History: hemoglobin SS c/o memory loss MRI of the brainNo diffusion weighted abnormalities are appreciated.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:There is a 3mm aneurysm directed superiorly, medially and anteriorly present at the proximal portion of the opthalmic segment of the right internal carotid artery.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 cerebrovascular occlusion.The anterior communicating artery is identified. The posterior communicating arteries are not readily identified. The vertebral arteries are similar in size.
1.There is a 3mm aneurysm at the proximal portion of the ophthalmic segment of the right internal carotid artery. CTA would help confirm this.2.No evidence for cerebrovascular occlusive disease.3.No evidence for act ischemic cerebral infarction.Findings were emailed to Dr E. Drumm who is not available by pager and a voice message left at the given Referring Call Back: (773)702-6808