69 years Female (DOB:9/22/1946)Reason: new stroke, normal pressure hydrocephalus? History: weakness, falls, hx of dementiaPROVIDER/ATTENDING NAME: AMBER T PINCAVAGE AMBER T PINCAVAGE There is a moderate degree of confluent periventricular T2 and FLAIR hyperintense and T1 hypointense white matter lesions associated with punctate T2 and FLAIR hyperintense lesions. Additional patchy T2 and FLAIR hyperintensity is present in the brainstem and left anterior limb of the internal capsule. This is stable compared to the previous exam from 1/19/2015.There is ventriculomegaly present. This is stable compared to the previous exam from 1/19/2015.No foci of diffusion restriction are appreciated 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 visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.
1.Moderate to marked degree of periventricular and subcortical white matter lesions associated with brainstem lesions which were also present on the prior exam. Most likely these are vascular related. Please, the patient's clinical history. This is stable compared to the previous exam from 1/19/20152.Mildly enlarged lateral ventricles could be related to atrophy or normal pressure hydrocephalus. This correlates clinical symptoms. This is stable compared to the previous exam from 1/19/20153.Exam is mildly degraded due to patient motion which may obscure more subtle abnormalities.4.There is no evidence for acute ischemic cerebral infarction on the current exam.