Left hand weakness. There is mild left and moderate right narrowing of the internal carotid artery origins. There also appears to be moderate focal narrowing of the origin of the right vertebral artery. There is a three vessel aortic arch.
Mild left and moderate right narrowing of the internal carotid artery origins and apparent moderate focal attenuation at the origin of the right vertebral artery. Doppler ultrasound may be useful for further characterization.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.