Right hemianopsia. No evidence of acute ischemic or hemorrhagic lesion.Multifocal scattered high signal intensities on FLAIR imaging indicate minimal small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and 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. 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate no evidence of significant luminal stenosis. Vertebrobasilar system shows subtle luminal irregularities without evidence of significant luminal stenosis. Brain MRA shows some motion related artifacts but interpretable.3D MRA neck post-gadolinium images with maximum intensity projections of the cervical vasculature is not interpretable due to motion artifacts. Therefore, this exam should be repeated.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Minimal non specific small vessel disease.3. Subtle irregularities of intracranial arterial system without evidence of significant arterial luminal stenosis. 4. Neck MRA is not interpretable due to significant motion artifacts.