CTA Head W/WO PP – Final
Result/Status Change: Feb 11, 2021 4:06 PM EST
Date/time: February 11, 2021 1431 hours EXAM:
CTA head and neck
Aneurysm. Vertigo, double vision, headache. Possible stroke.
Multiple axial images the brain from the skull base to the vertex without IV contrast. Reconstructions in the coronal and sagittal planes. Then following administration of 100 mL of Isovue 370 IV contrast multiple axial images were obtained of the head and neck. Reconstructions in the coronal and sagittal planes. 3-D reconstructions of the carotid vertebral vessels of the neck and circle of Willis were performed, on a independent workstation.
Head CTA January 10, 2020
Small area of encephalomalacia in the left cerebellar hemisphere, from remote infarct. There is no acute bleed, mass effect or midline shift. No hydrocephalous. Visualized paranasal sinuses are well-aerated. No depressed skull fracture.
CTA head: Atherosclerotic plaquing of the cavernous portions of the internal carotid arteries, without high-grade stenosis. Intracranial vertebral arteries, basilar artery, middle cerebral arteries, anterior cerebral arteries, posterior cerebral arteries, posterior communicating arteries and anterior communicating artery are unremarkable without high-grade stenosis, major branch vessel occlusion or aneurysm formation.
Examination is limited secondary to motion artifact. There is no high-grade stenosis, occlusion or aneurysm of either internal carotid artery or common carotid artery.
There is markedly limited assessment of the proximal and mid vertebral arteries, secondary to motion artifact. Evaluation is essentially nondiagnostic, at the inferior level of the C4 vertebral bodies through C6 vertebral body as well as the left vertebral artery at the level of C3-C4 intervertebral disc space. Proximal to this and distal to this the vertebral arteries are patent without high-grade stenosis. Linear density at the right upper lobe, either subsegmental atelectasis versus scar.
Degenerative changes of the cervical spine.
1. No acute intracranial process.
2. Redemonstration of encephalomalacia in the left cerebellum, from old infarct.
3. No aneurysm of the vessels of the circle of Willis.
4. Atherosclerotic plaquing of the cavernous portions of the internal carotid arteries, without high-grade stenosis.
5. The CTA neck exam was limited secondary to motion artifact. There is markedly limited assessment of portions of the proximal and mid vertebral arteries, which is essentially nondiagnostic. Recommend repeat study, when patient is able to hold still.
6. No high-grade stenosis or occlusion of either internal carotid artery in the neck.
*** THIS IS AN ELECTRONICALLY VERIFIED REPORT *** 2/11/2021 4:02 PM: Lindsey Kirk, D.O.
D 02/11/2021 15:48
T 02/11/2021 16:02
J 11657981 LK/lk
Signed by: KIRK, LINDSEY
Date: 02/11/2021 16:06
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