Hi ! Good morning . I am Dr Shareef answering your query. The report shows some amount of lack of proper blood supply to the neural cells of some part of the brain. This could be due to any pathology of the blood vessels like arteriosclerosis due to very many regions. Basal arteries are one of the major arteries of brain and cervical region. These arteries are normal as per the report of patency of these vessels. These findings could also be just incidental findings where as your symptoms could be due to cervical spondylitis but there is no mention of that in the report. The significance of these findings could be co related only by physical examination and some other investigations if need be by the treating doctor. If I were your doctor, I would also advise very much against smoking and alcohol if you do consume any of these. Management of your symtoms could either be physiotherapy and some neuro vitamins along with some anti inflammatory drugs if need be. These could be decided by the doctor who treats you after a physical examination and some routine investigations including a blood sugar test. I hope this information would help you in discussing with your family physician/treating doctor in solving this problem. Thanks for using the healthcare magic forum for your health query. Wishing you an early recovery. Dr Shareef.