Demographics:
71 years old, Male
Indication:
Right arm weakness
Findings
- No evidence of acute infarct, hemorrhage, mass effect, or hydrocephalus
- Abnormal flow-related signal in the bilateral internal carotid arteries from the visualized portions below the skull base through the cavernous segments
- Grossly normal flow-related signal in the ophthalmic and communicating segments of the bilateral internal carotid arteries, in the proximal MCA and ACA branches bilaterally, and in the vertebral arteries, basilar artery, and bilateral proximal PCA branches
- Patchy T2/FLAIR signal hyperintensity in the subcortical and periventricular white matter
- Generalized cerebral and cerebellar volume loss
- Bilateral pseudophakia
Diagnosis
Bilateral internal carotid artery occlusion
Sample Report
No evidence of acute infarct, hemorrhage, mass effect, or hydrocephalus.
Abnormal flow-related signal in the bilateral internal carotid arteries from the visualized portions below the skull base through the cavernous segments, concerning for high grade stenosis or occlusion. Otherwise grossly normal flow-related signal in the remaining proximal intracranial arteries. Recommend CTA or catheter angiography for further evaluation.
Background of generalized cerebral and cerebellar volume loss and sequela of chronic small vessel disease.
Discussion