29 years Female (DOB:6/30/1986)Reason: 29 yo F with 1 month of acute onset headaches with prodromal dizziness/imbalance and +family hx of fatal cerebral aneurysm in 21 year old brother; please evaluate for vascular malformation/aneurysm or other abnormality History: see abovePROVIDER/ATTENDING NAME: RITA M. ROSSI-FOULKES RITA M. ROSSI-FOULKES 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. 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. The posterior communicating arteries are not readily identified. The left vertebral artery is larger than the right vertebral artery. It is extracranial origin of the left posterior inferior cerebellar artery
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.No evidence for acute ischemic cerebral infarction4.MRI of the brain and MRA of the brain are within normal