Findings:
No intra- or extra-axial mass lesion or collection is identified. The ventricles and sulcal spaces are within normal limits. There is no midline shift.
A few non-specific foci of FLAIR hyperintensity are noted in the right frontal white matter. The brain parenchyma is otherwise unremarkable. No diffusion restriction.
Compared to the previous study mild increase in the flow signal within the coiled left para-ophthalmic ACI aneurysm, measuring approximately 2-3 mm.
Conical protuberance from the supraclinoid left ICA with the PCOM arising from its apex is characteristic of an infundibulum.
The residual flow at the base of the coiled right carotid tip aneurysm remains unchanged, measuring approximately 3 mm.
Stable appearance of the inferior type right MCA bifurcation aneurysm, measuring approximately 4 mm.
The orbits, paranasal sinuses and mastoid air cells are clear.
No bony abnormality is seen.
Conclusion:
Compared to the previous study newly appreciated flow signal within the coiled left para-ophthalmic ACI aneurysm, measuring approximately 2-3 mm. Referral to the neurovascular MDT is advised.
Stable appearance of the coiled right carotid tip aneurysm as well as the right MCA bifurcation aneurysm.