Brain angiogram shows infundibular, outpouching. Concerned about risk
COMPARISON: Prior CT angiogram of the brain 7/2/2018. Prior MR angiogram brain 6/22/2018.
FINDINGS: Current exam once again demonstrates a 2 mm outpouching along the basilar artery termination extending slightly to the left of midline. There is evidence for is tiny vessels arising from the apex of this outpouching could represent small perforating vessels or tiny hypoplastic P1 segments. The configuration is similar to previous exams. Findings favor infundibular configuration rather than an aneurysm
There is mild narrowing of the mid right intradural vertebral artery was not definitively seen on previous CTA exam. This area was not included in the coverage field of the prior MRA exam. Findings may be artifactual secondary in plane saturation effects. No other definite significant stenosis of the intradural right left vertebral arteries or basilar artery seen.. The right and left posterior cerebral arteries are supplied primarily through the posterior communicating arteries consistent with a functional fetal origins. This is unchanged from prior.
The intracranial right and left internal carotid arteries as well as the proximal right and left anterior middle cerebral arteries appear grossly patent but significant stenoses or large branch occlusions. No gross aneurysms of anterior circulation vessels are apparent.
Axial T2-weighted images once again demonstrates postoperative changes of a right temporal lobectomy unchanged from previous. There is evidence for small chronic right hypothalamic lacunar infarct also unchanged from prior. Minimal partial opacification of left ethmoid.
This report has me very concerned since I lost my entire family to heart disease and stroke. I'm 60 and already had a stroke 5 years ago and wondering what action if any I should be pursuing?