94 years Female (DOB:9/22/1922)Reason: episodic dizziness/unawareness; possibly TIAs; significant vascular disease? History: episodic dizziness/unawareness; possibly TIAs; significant vascular disease?PROVIDER/ATTENDING NAME: DIANE L. ALTKORN DIANE L. ALTKORN MRI of the brainThere is a mild to moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Additional punctate foci of T2 and FLAIR signal hyperintensity are present in the cerebellum and brainstem. The lesion in the right middle cerebellar peduncle is associated with susceptibility effect.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 visualized portions of the paranasal sinuses demonstrate some mucosal thickening. The visualized portions of the mastoid air cells demonstrate opacities in the right mastoid more than the left. These are nonspecific. The visualized portions of the orbits are intact. The eyeball lenses are thin.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified. The posterior communicating arteries are very small. The right vertebral artery is larger than the left vertebral artery.
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.Periventricular and subcortical white matter lesions of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. 