60 years Male (DOB:10/19/1955)Reason: MRI with (wo already done) History: Eval source of L occipital bleedPROVIDER/ATTENDING NAME: CHRISTOPHER L KRAMER CHRISTOPHER L KRAMER There is a hematoma measuring approximately 3 cm located in the left cuneus and precuneus. It is not associated with any significant degree of contrast enhancement.There is a moderate degree of periventricular and subcortical punctate hypointense white matter lesions present identified on the T1 weighted images. These correspond to T2 hyperintense foci in the prior MR.There is a hypointense focus present in the right thalamus corresponding to T2 hyperintense focus in the prior MR.Incidental note is made of a developmental venous anomaly located in the right cerebellar hemisphere.There is a mucous retention cyst in the left maxillary sinus.
1.There is no associated enhancing lesion related the patient's left occipital and parietal lobe hematoma. There is no evidence for brain metastases.2.Exam is limited to pre and postcontrast T1-weighted imaging. There is a prior MRI from 1/31/2016. Please refer to that for further comments.3.Old lacunar infarct is redemonstrated in the right thalamus4.Periventricular and subcortical white matter lesions of a moderate degree are nonspecific. At this age they are most likely vascular related. 