Other malaise and fatigue [780.79], Reason for Study: ^Reason: possible CVA History: weakness 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 paranasal sinuses and mastoid air cells are clear.3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal. Bilateral PCAs are Pcom origin. Acom artery is patent.3D MRA neck post-gadolinium images show no evidence of vascular signal intensity on bilateral carotid arterial system and most of aortic arch vessels except the left vertebral artery. This is a poor quality exam due to the injection of contrast and acquisition time are not well coordinated. Thus, images are non-diagnostic. The neck MRA scan should be repeated without additional charge.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Normal brain MRA3. Non diagnostic neck MRA 