Female, 31 years old, with worsening headaches and visual disturbances. Family history of aneurysm. Patient is a surgical candidate if a lesion is detected. The cerebral and cerebellar hemispheres and brainstem show normal signal intensity and morphology. No restricted diffusion is seen.No evidence of parenchymal edema, mass, or mass effect is seen. There is no evidence of intracranial hemorrhage or abnormal extra-axial fluid. The ventricular system is normal in caliber and morphology. Signal intensity of the bone marrow is unremarkable. No significant abnormalities of the paranasal sinuses are detected.MRA images demonstrate normal flow related signal within the intracranial vessels. No significant vascular stenosis or occlusion is seen. No aneurysms are detected within the limitations of technique.The ACOM artery is moderately sized and normal. A small right PCOM artery and a moderately sized left PCOM artery are present.
1.Unremarkable MRI evaluation of the brain with no specific findings to account for the patient's symptoms.2.Unremarkable MRA evaluation of the brain. No aneurysm or other vascular malformation is detected.