A 40-year-old woman is evaluated during a follow-up visit for a diagnosis of autosomal dominant polycystic kidney disease (ADPKD). She is asymptomatic but is questioning whether she should be screened for a brain aneurysm. Medical history is otherwise significant for hypertension treated with enalapril. Family history is notable for her father who has ADPKD and is on hemodialysis and her paternal grandmother who died of chronic kidney disease, although she does not know the type. She is not aware of any family history of stroke or other neurologic abnormalities. She works as an administrator in an office.
On physical examination, temperature is 37.0 °C (98.6 °F), blood pressure is 140/90 mm Hg, pulse rate is 80/min, and respiration rate is 15/min. BMI is 22. Cardiovascular, pulmonary, and neurologic examinations are normal. On abdominal examination, nontender masses are palpable bilaterally.
Which of the following is the most appropriate screening regimen for this patient?