Patient presenting with severe headache, evaluate. MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The cerebellar tonsils are minimally low-lying.MRA: There is no evidence of significant steno-occlusive lesions. There appears to be a trace outpouching along the inferior aspect of the paraclinoid left internal carotid artery, which may represent an infundibulum.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No evidence of significant steno-occlusive lesions.3. Possible trace outpouching along the inferior aspect of the paraclinoid left internal carotid artery, which may represent an infundibulum.4. A neck MRA was performed instead of a brain MRV. The be recalled for an MRV at no additional cost, if needed.