 MRI Brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular and subcortical white matter T2/FLAIR hyperintensity, which is nonspecific but likely related to mild chronic small vessel ischemic disease. These changes are slightly progressed since prior study from 2007. 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. There is mild scattered paranasal sinus opacification.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. 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.No evidence of acute infarct, edema or mass effect.2.No significant stenosis involving the intracranial arteries or arteries of the neck.3.Mild chronic small vessel ischemic changes, which have progressed since prior MRI from 2007.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.