Concern for atherosclerotic Parkinson's, has history of TIA: tremor, history amaurosis fugax in the left eye. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered foci of cerebral white mater T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Mild scattered foci of cerebral white mater T2 hyperintensity may represent chronic small vessel ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or cerebral edema. Please refer to the concurrent DaTSCAN report for additional findings regarding the question of Parkinson disease.