Migraine with aura, not intractable, without status migrainosus [G43.109], Reason for Study: ^Reason: Patient with new left eye visual obscuration c/w migraine but Hx of hyperlipidemia - so need MRI to look for stroke and MRA to look for narrowed vessel Brain MRINo evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.The right lateral ventricle especially occipital horn is slightly prominent which is non specific and likely to be within normal limits. Otherwise, ventricles, sulci and cisterns are unremarkable. 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. The mastoid air cells are clear. Mucosal thickenings are seen on bilateral maxillary sinuses.Brain MRA3D 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.
1. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.2. Normal brain MRA. 