Dysequilibrium, evaluate for posterior circulation infarct. There is no evidence of acute infarction, intracranial hemorrhage, or mass. There is mild scattered periventricular and subcortical T2 hyperintensity. There is also a subcentimeter focus of encephalomalacia in the left thalamus. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral staphylomas. There is a subcentimeter Thornwaldt cyst.
No evidence of acute intracranial hemorrhage, mass, or acute infarct. Mild scattered periventricular and subcortical T2 hyperintensity is suggestive of chronic small vessel ischemic disease and a subcentimeter focus of encephalomalacia in the left thalamus is suggestive of a chronic lacunar infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.