Dysphonia [R49.0], Reason for Study: ^Reason: neuro History: same Brain MRINo evidence of acute ischemic or hemorrhagic lesion.The 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. The midline structures and cranial-cervical junction are normal. The mastoid air cells are clear. Retention cyst is seen on the left maxillary sinus.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate about 5 mm sized right paraophthalmic aneurysm.Otherwise, bilateral MCAs and ACAs appears to be normal., Vertebrobasilar system appears to be normal. No evidence of significant luminal stenosis.Neck MRA3D MRA neck post-gadolinium images with maximum intensity projections of the cervical vasculature demonstrate normal flow enhancement in a normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The vertebral artery origins are normal. There is normal flow enhancement through the bilateral common carotid, carotid bifurcations, internal/external carotid, and vertebral arteries.
1. No evidence of acute ischemic or hemorrhagic lesion.2. About 5 mm sized right paraophthalmic aneurysm. No other intracranial aneurysm is seen. 3. No evidence of arterial luminal stenosis on both intracranial and extracranial arterial system.