the study reveal multiple foci of hypersinal on T2w of non-specific white matter change at bilateral frontal, corona radiata and left parietal regions are noted. small old lacunar infarction at right basal ganglia and right capsules are noted
__________
fetal origin of bilateral pcas could be variation .
hypoplasia or small caliber of v4 segment of right va is noted.
the rest of mra brain shows no gross stenosis of cavernous and supraclinoid part of both......and arteries
the mra neck shoe gross stenosis of bilateral...and bilateral carotid bulbs and noted.
no aneurysm ,avm nor abnormal av-shunt is seen.
technique of brain and contrast enhance technique of brain and carotid;