64 years Male (DOB:11/21/1951)Reason: evaluate for diffuse axonal injury vs. focal abnormality History: post-concussive symptoms 9 months after mTBIPROVIDER/ATTENDING NAME: NAOUM P ISSA NAOUM P ISSA The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several subcortical punctate-sized white matter lesions identified on FLAIR MRI and T2 MRI which were also present prior exam and have not changed. There is a one in particular in the left parietal lobe which was not clearly present on the prior exam but may have been obscured due to volume averaging because it appears to have been present on the prior coronal FLAIR MRI.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.No significant microhemorrhages are appreciated intracranially.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 in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 2.The current exam appears be stable compared to the 2010 exam