Impression
Normal MRA Brain.
Please see same day MRI brain IAC without contrast for further evaluation
Workstation performed: PASI19034
Narrative
MRA BRAIN WITHOUT CONTRAST
INDICATION: G45.0: Vertebro-basilar artery syndrome
R42: Dizziness and giddiness
G43.109: Migraine with aura, not intractable, without status migrainosus
H53.9: Unspecified visual disturbance
COMPARISON: Same day MRI brain IAC without contrast
TECHNIQUE: Axial 3-D time-of-flight imaging with 3-D reconstructions performed without contrast.
IV Contrast: Not administered.
FINDINGS:
IMAGE QUALITY: Diagnostic.
ANATOMY
INTERNAL CAROTID ARTERIES: Normal flow related signal of the distal cervical, petrous and cavernous segments of the internal carotid arteries. Normal ICA terminus.
ANTERIOR CIRCULATION: Normal A1 segments. Normal anterior communicating artery. Normal flow-related signal of the anterior cerebral arteries.
MIDDLE CEREBRAL ARTERY CIRCULATION: The M1 segment and middle cerebral artery branches demonstrate normal flow-related signal.
DISTAL VERTEBRAL ARTERIES: Distal vertebral arteries are patent with a normal vertebrobasilar junction. Right posterior inferior cerebellar artery origin is normal. Extradural origin of left posterior inferior cerebellar artery, normal variant.
BASILAR ARTERY: Developmentally small caliber of basilar artery is patent.
POSTERIOR CEREBRAL ARTERIES: Both posterior cerebral arteries arises from the basilar tip with hypoplastic right P1 segment. Both arteries demonstrate normal flow-related enhancement. Patent posterior communicating arteries.
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