CTA HEAD NECK
Impression
Unremarkable CTA of the head and neck Note: All measured carotid stenoses
reference the distal cervical internal carotid artery. Thank you for this
referral. This examination was interpreted by a Colorado Imaging
Associates radiologist. Providers with questions may reach a radiologist
directly at 303-223-4448. WS: CEDENSAH-RAD604 DICTATED BY: STEWART, CRAIG
Date: 04/06/2022 15:49 MT TRANSCRIBED DATE: 04/06/2022 15:49 MT Narrative
HISTORY:
Head trauma, intracranial arterial injury suspected Neck trauma, arterial
injury suspected
COMPARISON:
None.
TECHNIQUE:
This examination was performed using automated exposure control,
adjustment of mA or kV according to patient size, and/or use of iterative
reconstruction technique. Contrast enhanced axial CT images of the head
and neck were obtained in the arterial phase following the administration
of IV contrast. Sagittal and coronal reformations as well as 3-D MIP
images were also obtained.
CTA Neck:
Aortic arch: Three-vessel arch. No aortic arch branch vessel stenosis.
Right carotid system: The common carotid artery and internal carotid
artery are normal in caliber. No hemodynamically significant stenosis.
Left carotid system: The common carotid artery and internal carotid artery
are normal in caliber. No hemodynamically significant stenosis. Right
vertebral artery: Patent through the neck. Left vertebral artery: Patent
through the neck. Additional findings: No additional significant findings.
CTA Head:
Internal carotid arteries: The skull base, cavernous and supraclinoid
portions of the internal carotid arteries are patent. Middle cerebral
arteries: The middle cerebral arteries are widely patent Anterior cerebral
arteries: The anterior cerebral arteries are widely patent.
Vertebrobasilar system: The intradural vertebral arteries, basilar artery
and posterior fossa branch vessels appear patent. Posterior cerebral
arteries: The posterior cerebral arteries are widely patent. There is no
intracranial mass effect. The major dural venous sinuses opacify normally.
Please see same date head CT for additional details. Partial opacification
of the left sphenoid sinus is noted.