@hnrharrison I'm not a medical professional however from everything you have shared I understand why you want to know if your husband's symptoms are associated with the findings on the scanning results. With these most recent findings that you shared on the CTA and MRA that were done last month detailing the probable occlusion with the left hemisphere MCA (middle cerebral artery) and changes within the territory around the ACA (anterior communicating artery) would result in me asking the same questions as you. Can occlusions look like lesions in brain scans? I'm thinking that since a CTA and MRA were ordered that the physician who ordered these wanted to find. out more about your husband's arteries and blood vessels in the brain.
A narrowing, or occlusion (stoppage) of the blood vessels in the brain can result in what we often think of as strokes. When the brain tissue is affected by those changes in the brain blood vessels then that brain tissue is what is referred to as a lesion that shows up on brain scans.
Computed Tomography Angiography (CTA) from Johns Hopkins University:
-- https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/computed-tomography-angiography-cta
Magnetic Resonance Angiography (MRA) from Cleveland Clinic:
-- https://my.clevelandclinic.org/health/diagnostics/24024-mra
I don't have personal experience with this. If this were occurring with my husband I'd be advocating for him just as you are doing.
If you and your husband are interested in a second opinion/consult with Mayo Clinic then here is the information you will need to request an appointment. Your husband can refer himself or better yet your husband's physician can make the referral with the supporting scans and medical documentation.
http://mayocl.in/1mtmR63
My husband is being treated by the VA. The first 2 MRIs showing the 8mm lesion on the right were never even disclosed to us. He was told in 2022 that the MRI simply showed mild sinusitis, and in 5/23 he was told the 2023 MRI simply showed no acute abnormality or reasoning of muscle atrophy. The recent MRA (that indicates something on the left) was done because a neuro e-consult recommended it based on a 4/2023 head CT that showed possible old infarction after he started having stroke like symptoms. And the radiologist who read the MRA recommended the CTA. His primary care has not seen him since 1/23 even though we have made multiple requests to be seen, they have had no urgency in these tests (note stroke symptoms started in March and the MRA was just done in June) and he has yet to be seen by a neurologist at all! I am trying to get anyone to help explain what is going on with him and what treatment is needed. And also if the abnormal tests done in 2022 and 2023 were acknowledged and looked into could his current condition have been prevented.