Chest pain, unspecified [R07.9] / Persistent atrial fibrillation [I48.1] / Paresthesia of skin [R20.2], Reason for Study: ^Reason: Hx of afib, concern for Tia symptoms, looking for stroke History: left sided paresthesias Brain MRIThere is no evidence of acute ischemic or hemorrhagic lesion.There is abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear. Mucosal thickenings on the left posterior ethmoid sinuses.Neck MRA3D MRA neck post-gadolinium images with maximum intensity projections of the cervical vasculature demonstrate bilateral retropharyngeal course of cervical ICAs. However, there is normal flow enhancement in a normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The vertebral artery origins are normal. There is normal flow enhancement through the bilateral common carotid, carotid bifurcations, internal/external carotid, and vertebral arteries. Neck MRIMotion artifacts degraded exam quality.PHARYNX/LARYNX: The nasopharynx, oropharynx, and hypopharynx are unremarkable. The larynx is unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The contrast-enhanced appearance of the submandibular, sublingual, and parotid glands bilaterally is unremarkable. The thyroid gland is unremarkable. ORAL CAVITY: The oral tongue and the floor of mouth are unremarkable.CERVICAL SOFT TISSUES: Scattered small cervical lymph nodes are identified.
1. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.2. Normal Neck MRA3. Normal Neck MRI 