Disequilibrium for 2 - 3 months. Evaluate for evidence of strokes. There is a subcentimeter T2 hyperintense lesion in the left pons. There are also scattered punctate foci of T2 hyperintensity in the cerebral white matter. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift, mass effect, or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. A subcentimeter T2 hyperintense lesion in the left pons may represent a chronic lacunar infarct, but is incompletely characterized. Follow up with a brain MRI with contrast may be useful if there are no contraindications.2. Nonspecific scattered punctate foci of T2 hyperintensity in the cerebral white matter may represent the effects of chronic small vessel ischemic disease.3. No evidence of acute intracranial hemorrhage or acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.