MRA EXAMINATION OF THE CAROTID ARTERIES OF THE NECK - 1

MRA EXAMINATION OF THE CAROTID ARTERIES OF THE NECK

INDICATION FOR STUDY:  Vertigo.  Dizziness.  Nausea.

FINDINGS:  The left vertebral artery is noted to be more dominant than the right.  The common carotid arteries show no gross abnormality.  At the region of the bifurcation, there are slight atherosclerotic changes, but no significant stenosis.  The proximal internal carotid arteries are somewhat tortuous, but showed no significant stenosis within them.  If there is any further concern, would recommend further evaluation as clinically necessary.  Would recommend correlation with ultrasound of the carotids if not already performed.  There is also slight kink within the proximal internal carotid arteries identified, especially on the reconstructive images, but once again no significant stenosis identified.

IMPRESSION:  Tortuosity of the proximal internal carotid arteries.  No significant stenosis.  Dominant left vertebral artery.

Thank you for the referral.

XXXXXXX, M.D.