66 years Male (DOB:9/1/1949)Reason: Eval for ischemia, bleed History: falls, c/f left sided weakness, subacute change in mental statusPROVIDER/ATTENDING NAME: SHANNON K MARTIN SHANNON K MARTIN The CSF spaces are appropriate for the patient's stated age with no midline shift. The exam is somewhat degraded due to patient motion artifact. Susceptibility weighted imaging is degraded significantly patient motion artifact.There is a cystic focus present medial to the left cerebellar hemisphere measuring 20 x 20 mm axial dimensions which follows spinal fluid on all pulse sequences and most likely represents a small arachnoid cyst.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus. The left vertebral artery appears very small relative to the right vertebral artery.The visualized portions of the paranasal sinuses demonstrate scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no evidence for acute ischemic cerebral infarction.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.Exam is mildly degraded due to patient motion which may obscure more subtle abnormalities.