Diagnosis: Ocular pain, right eye Aneurysm of unspecified siteClinical question: r/o mass or aneurysmSigns and Symptoms: HA 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 demonstrate a small mucous retention cyst in the right maxillary sinus which is new since the prior exam.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. There is mild asymmetry in the size of the eyeballs the right is slightly larger than the left. This is unchanged since prior exam.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. The posterior communicating arteries are not readily identified. The vertebral arteries are similar in size.
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.No evidence for intracranial mass or other intracranial abnormality.4.Asymmetry in the size of the size of the eyes is stable.