Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 80 yo male with abrupt onset severe headache and confusion Exam CTA and DSA Prior Study CT evidence of acute intracranial subarachnoid hemorrhage. Focal clot is evident in the right sylvian fissure; correlate for right MCA aneurysm. Dicom View Reference Material
Section 1 Submit Findings CB1645 Findings CTA/MRA/DSA Findings There is evidence of intracranial/extradural aneurysm: petrous canal cavernous sinus, sub clinoidal space, lower ICA ophthalmic segment, or superior hypophyseal segment. This can be any type, saccular aneurysm, arteriosclerotic giant aneurysm, or blister aneurysm. Yes No There is evidence of intracranial/intradural saccular or giant arteriosclerotic aneurysm(s): upper ophthalmic ICA segment for true ophthalmic, dorsal ophthalmic variant, or ICA apex aneurysms. Yes No There is evidence of intracranial/intradural saccular aneurysm: communicating ICA segment for P-com aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: choroidal ICA segment for anterior choroidal aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: caudal P-com/P1 PCA junction aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: ICA vertex, or lenticulostriate (off M1 or A1), or anterior temporopolar aneurysm (off M1/2). Yes No There is evidence of intracranial/intradural saccular aneurysm: A1-2 segment for anterior communicating aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: distal ACA for pericallosal aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: M1-2 segment for lateral frontotemporal, or MCA trifurcation aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: basilar apex aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: PCA-SCA junction aneurysm. Yes No There is evidence of intracranial/intradural saccular aneurysm: PICA origin aneurysm. Yes No There is evidence of saccular aneurysm complexities including daughter aneurysms and wide neck (vs fundal width), aneurysm neck involvement of parent artery, local dissection of parent artery. Yes No There is evidence of major vessel vasospasm (minimal, moderate, or advanced). Yes No There is evidence of a bleb/blister type aneurysm (usually off ICA ophthalmic segment or dorsal side of A-com or basilar apex). Yes No There is evidence of a major artery spontaneous distal fusiform aneurysm. Yes No There is evidence of intracranial/intradural dissecting aneurysm: vertebral or carotid dural penetration site. Yes No There is evidence of intracranial/intradural dissecting aneurysm of distal artery branches: consistent with saccular appearing dissection or mycotic source. Yes No There is evidence of a distal pial artery inflammatory tubular aneurysms, especially M2-4, P2-4 arteries. Yes No There is evidence of aneurysms associated with vascular anomalies: arterial fenestrations, trigeminal anomaly, or any other arterial anomaly. Yes No There is evidence of major vessel atherosclerotic sacculo-fusiform aneurysm. Yes No There is evidence of significant arteriosclerotic dolichoectasia. Yes No There is CT perfusion evidence of dysautoregulation (mixed vasospasm and downstream vasodilatation from collaterals). Yes No Other abnormalities Yes No