Really need some advice. I had a recent CTA with contrast to rule out stenosis of the carotid arteries due to some turbulence found on an ultrasound. The CTA came back unremarkable. As a follow up, my doctor sent me for an MRI/MRA without contrast but at a different facility. The neuro radiologist that read the study reported a possible small aneurysm in the Cavernous segment of the ICA at 1.:mm. He recommended a CTA for further study. I provided him the CTA that was just completed and he issued an amendment to the report stating that what he thought was a possible small aneurysm is in fact an undulating vessel and the MRA exaggerated the curvature. He ruled out aneurysm. I spoke with him over the phone and he was adamant that I do not have an aneurysm. He said this area is a common place for false findings and the CTA was able to rule out aneurysm.
I had already planned to meet with a neurosurgeon at Cedars Sinai and went ahead with the appointment. I assumed he would state the same however he suggested I do have an aneurysm. He didn’t seem to want to listen to me regarding my conversation with the neuro radiologist and insisted I have an aneurysm. His explanation was he “is the aneurysm expert” and that is what he does. He didn’t seem very interested and told me it’s in an area that doesn’t matter and the size is of zero concern.
I’m really confused. The neuro radiologist who initially suggested aneurysm seemed very sincere and confident about his conclusion of no aneurysm. However, Cedars Sinai has a good reputation and specifically this doctor is highly regarded. I just feel that he made up his mind that I had an aneurysm and because he saw no threat due to location and size he was not inclined to spend time ruling out something he thought was of no threat.
Thoughts and advice would be greatly appreciated.
I had already planned to meet with a neurosurgeon at Cedars Sinai and went ahead with the appointment. I assumed he would state the same however he suggested I do have an aneurysm. He didn’t seem to want to listen to me regarding my conversation with the neuro radiologist and insisted I have an aneurysm. His explanation was he “is the aneurysm expert” and that is what he does. He didn’t seem very interested and told me it’s in an area that doesn’t matter and the size is of zero concern.
I’m really confused. The neuro radiologist who initially suggested aneurysm seemed very sincere and confident about his conclusion of no aneurysm. However, Cedars Sinai has a good reputation and specifically this doctor is highly regarded. I just feel that he made up his mind that I had an aneurysm and because he saw no threat due to location and size he was not inclined to spend time ruling out something he thought was of no threat.
Thoughts and advice would be greatly appreciated.
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