Image Analysis Summary

Image 1 - CT/MR Angiography (MIP Reconstructions)

• Anterior circulation (ICAs, MCAs, ACAs) and posterior circulation (vertebrals, basilar, PCAs) are well-visualized
• No focal saccular outpouchings or fusiform dilations seen at typical aneurysm sites (ACoM, ICA terminus, MCA bifurcation, basilar tip)
• Vessel walls appear smooth with uniform caliber
• The zoomed-in panel of the left supraclinoid ICA/MCA shows smooth, continuous vessel margins

Image 2 - Non-Contrast CT Head

• No subarachnoid hemorrhage - basal cisterns and sylvian fissures are clear
• No intraparenchymal hemorrhage
• No rounded hyperdense structure near the Circle of Willis
• Ventricles normal, no hydrocephalus
• No midline shift or mass effect

Image 3 - CT Angiogram (Contrast-Enhanced)

• No saccular or fusiform outpouchings at bifurcation sites
• No evidence of AVM
• No SAH in the basal cisterns
• Bottom row reconstructions of skull base/cavernous sinus ICA segments appear smooth and normal

Overall Impression

Important Disclaimer: This is an AI-assisted review of photographed films - not a formal radiological read. Small aneurysms under 2-3 mm can be missed on printed films. The definitive diagnosis must come from a qualified neuroradiologist reviewing the original high-resolution DICOM images on a diagnostic workstation, correlated with the patient's clinical history and the official radiology report.