 MRI Brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is minimal periventricular and subcortical white matter T2/FLAIR hyperintensity, which is nonspecific but likely related to chronic small vessel ischemic disease. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. Incidental note is made of a benign Thornwaldt cyst in the midline nasopharynx.MRA Brain: The intracranial internal carotid arteries demonstrate no significant stenosis. The middle and anterior cerebral arteries are also patent. The vertebral arteries, basilar artery, and posterior cerebral arteries also are patent with no significant stenosis. No evidence of aneurysms or vascular malformations. Incidental note is made of a tiny fenestration of basilar artery immediately past the vertebral artery confluence.MRA Neck: There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber. Both vertebral artery origins are patent. There is no evidence of stenosis or occlusion.
1.There is no evidence of intracranial hemorrhage, mass, or acute infarct. 2.Minimal chronic small vessel ischemic disease.3.No flow-limiting stenosis involving the intracranial or neck arteries.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.