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4205995 tn?1351169508

Help pls

Does this mean I have an aneurysm

There is significant mucosal swelling in regards to both maxillaary sinuses.

A normal grey wite matter differentiation is noted.internal csf spaces are unremarkble without evidence of dilation of effacement.no intra or extre mass lesions are seen and there is no mid line shift.a small number of periventricular white matter lesions is visualised measuring up to 3mm in size.

There are no areas of restricted diffusion on the performed DWI sequence.


MRA of the circle of willis suggest some proninence of the basilar artery distally to the origin of the AICAs and proximally to the origin of the superior cerebellar arteries and PCAs. Prominence up to 4.5mm is demonstrated. Maximal calibre of the basilar artery proximally and distally to this is 2.8mm.
MRA is otherwise unremarkable without evidence of AVM, vessel occlusion or stenosis.

CONCLUSION:
Some segmental prominence of the basilar artery is demonstrated as described above. This may be due to early fusiform dilation or may respesent fenestration.
Further differentiation uf unfortunately not possible by MRA but please condider CTA of the COW as for better resolution.
Otherwise normal appearance of cerebral structures.
There is futher evidence of significant bilateral maxillary sinusitis.
Best Answer
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

Good to know your results are normal on the MRI. If you actually see the CT report, its 4.5 and then suddenly the proximal and distal segments are below the normal at 2.8. Its quite drastic. CT scans are imaging studies and images can present differently based on the position of the patient and also on the neighboring structures. It can also depend on the technician performing the scan. Also, for soft tissue imaging MRI gives more resolution and detailing. So, it should more accurate.

Hope this helped and do keep us posted.
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4205995 tn?1351169508
Ok thanks just one more thing can a ct scan with dye an a ct scan without dye and a mri with out dye miss a brain tumor
Helpful - 0
4205995 tn?1351169508
Hay and thank you for the riply i did follow up with a cta scan and no  there is no aneurysm

Do you have any idea y it said what it did on the mri
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Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

The normal diameter of the basilar artery varies from 3-7 mm (mean of 4.3 mm). Since the value noted is 4.5, its marginally elevated. But the proximal and distal segments show a diameter of 2.8mm. Only further evaluation can help diagnose an aneurysm.

Hope this helped and do keep us posted.
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