91-year-old male with a history of urinary incontinence, gait disorder, and cognitive decline. The third and lateral ventricles are enlarged somewhat out of portion compared to the sulci and there is a prominent jet of cerebrospinal fluid into the third ventricle. There is no midline shift or herniation. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild to moderate periventricular and subcortical cerebral white matter T2 hyperintensity. The pituitary gland appears unremarkable. The major cerebral flow voids are intact. There is fluid within the right mastoid air cells. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
1. Findings suggestive of normal pressure hydrocephalus.2. No evidence of intracranial hemorrhage, mass, or acute infarct. 3. Fluid within the right mastoid air cells may represent mastoiditis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.