Dysphagia and brisk jaw reflex. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There are minimal scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are non-specific. The brain parenchyma otherwise appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. No abnormal parenchymal or meningeal enhancement. The skull and extracranial soft tissues are unremarkable.
1. MRI examination is within normal limits for age. No evidence of acute infarct, hemorrhage, intracranial mass or mass effect.2. Minimal scattered punctate foci of white matter T2/FLAIR hyperintensity, which are non-specific, but compatible with mild age-related white matter changes. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.