Headaches and hypertension. Strong family history of aneurysm. Rule out aneurysm. Left neck pain with radiation and weakness in left arm. MRA brain: No evidence of aneurysms or vascular malformations. 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. MRI cervical spine: Craniovertebral junction appears within normal limits. The cervical vertebral bodies and intervertebral discs are appropriate in height. There is reversal of normal cervical lordosis with kyphotic angulation centered at the C4-C5 level, at least part of which is positional. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. Individual levels as below:C2-3: No significant compromise to the spinal canal or neural foramina.C3-4: No significant compromise to the spinal canal or neural foramina.C4-5: No significant compromise to the spinal canal or neural foramina.C5-6: No significant compromise to the spinal canal or neural foramina.C6-7: No significant compromise to the spinal canal or neural foramina.C7-T1: No significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact. Paraspinous soft tissue structures appear within normal limits.
1. No evidence of intracranial aneurysm.2. No significant disc disease or spinal canal or neural foraminal stenosis at any level in the cervical spine.3. Reversal of cervical lordosis which is at least in part positional.