Hello!
Welcome and thank your for asking on HCM!
I read your question carefully and explain that the findings in your brain
MRI are just normal variations of the vessels structure inside the brain.
There is nothing to worry about. Usually the posterior
cerebral arteries and basilar arteries are connected through the posterior communicating arteries.
In some cases (like yours) this does not happen. But all these variations are normal and happen in many individuals.
The small vessel, which arises from the distal basilary
artery may be just a normal variation of the perforants artery which feed the
brainstem.
Have you any symptoms? Why have you performed a brain MRI?
It is important to evaluate this images in relation with your clinics, to find out possible implications of this physiological vessel variation in possible symptomatology.
Hope to have been helpful!
Best regards,
Dr. Iliri