Angiogram with endovascular coiling
Right vertebral artery injection:
Irregular bilobed basilar artery tip aneurysm:
- left lobe measures 8 x 6 x 4 mm
- right lobe measures 9 x 7 x 4 mm
- the aneurysm is partially incorporating origin of the right posterior cerebral artery P1 segment, with anterior pointed lobulation worrisome for potential site of rupture
- small left sided fenestration at the vertebrobasilar junction. Otherwise unremarkable angiographic appearance of the right distal V2, V3 and V4 segments, right posterior inferior cerebellar artery, as well as the basilar artery and its branches, including the bilateral posterior cerebral arteries.
Subsequent coiling of the aneurysms with platinum microcoils.