66 years Female (DOB:7/25/1949)Reason: please assess if subacute stroke vs degenerative cause for PD symptoms, History: left body tremor at rest, paratonia and weakness left sidePROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. A couple T2 and FLAIR hyperintense punctate foci are present in the brainstem.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.
1.Periventricular and subcortical white matter lesions of a mild degree as well as a couple punctate lesions in the brainstem are nonspecific. At this age they are most likely vascular related. 2.There is no evidence for acute ischemic cerebral infarction.