Dizziness and giddiness [780.4] / Coronary atherosclerosis of native coronary artery [414.01] / Occlusion and stenosis of carotid artery without mention of cerebral infarction [433.10], Reason for Study: ^Reason: evaluate for cva History: dizziness when Brain MRI:No evidence of acute ischemic or hemorrhagic lesion.There are multiple round susceptibility lesions without associated surrounding edema on bilateral frontal and parietal lobes right thalamus as well as left middle cerebellar peduncle indicating amyloid angiopathy, minute chronic hemorrhagic lesions including cavernous malformations or calcifications. The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.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.2. Multifocal susceptibility lesions on bilateral hemispheres and cerebellum.3. Normal brain MRA. 