MRI done in a 76 year old male patient 3 days after head injury.
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Incidental finding of anomalous cavernous segment of internal carotid arteries, in which they lie in the midline; in contact with each other or separated by a few millimeters. This is an unusual form of kissing carotids which are usually in the retropharynx.
This finding may mimic pituitary disease (clinically/ imaging) or complicate trans-sphenoidal surgeries.
Patient also had an incidental basilar invagination