Unspecified abnormalities of gait and mobility, evaluate for hemorrhagic lesion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered punctate foci and confluent areas of abnormal T2 hyperintensity within the periventricular and subcortical white matter and in the pons. There is no abnormal intracranial enhancement. The ventricles and cortical sulci are mildly prominent compatible with mild volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. There is minimal mucosal thickening in the anterior ethmoidal air cells. The skull, and scalp soft tissues are grossly unremarkable. There is a left lens implant.
1. No evidence of intracranial hemorrhage, mass, or acute infarct.2. Scattered bilateral cerebral and pontine white matter hyperintensity including pons may relate to mild chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.