42F. Been seeing a neurologist for about a month for other issues going on. One MRI showed a “right vertebral artery dissection of unknown age”. Clearly it wasn’t dissected because I wasn’t having any symptoms of such but the doctor said we needed to look at it further so he ordered a CTA of the neck. The results went to the doctor and his nurse called to tell me it looks occluded but it’s not a big deal and there’s no need to worry. I don’t see him in the office again for a few weeks. When this was all originally brought up he seemed to pushed it aside like it’s not a big deal and like I am probably not having any symptoms from it. Can someone help me better understand what these CT findings mean? They are as follows:

Impression: 1. Diffusely small cervical and intracranial right vertebral artery with lack of contrast opacification of the V1 and proximal V2 segment of the right vertebral artery which may be the sequela of dissection of indeterminate age, although likely chronic. The proximal right vertebral artery could be completely occluded. A bony protuberance associated with the right C7 facet joint severely narrows the right vertebral foramen and compresses upon the right vertebral artery. It could be the cause of the right vertebral artery appearance.

It’s important to note that I’ve had intermittent back of head and neck pain for several months and I’ve also been having weird vision problems on a steady basis since January but on and off for several months as well. Oh and a very clear whooshing in my ear for at least a year.

Any help in understanding this or understanding likely symptoms would be appreciated.