According to an ER doctor whom I met (in an ER) the most common cause of ER presentations of dizziness in people over 50 is vertigo. I'm only a superannuated manufacturing engineer, but I fail to see how either MRI or CTA would show that up in any case.
The report mentions changes in stroke medication.
IF you go to an ER with a headache and you’re if the elderly category stroke will be one the first things that is thought of. Hence the look at the brain to see if there’s a bleed