94 years Female (DOB:1/13/1922)Reason: intracranial lesion History: AMSPROVIDER/ATTENDING NAME: JAMES F AHN JAMES F AHN There is a small focus of diffusion restriction present along the posterior limb of the right internal capsule and adjacent right lentiform nuclei.There are multiple small and punctate foci of signal loss within the basal ganglia, thalami and brainstem and cerebellar hemispheres as well as along the subcortical white matter and periventricular white matter in the supratentorial brain.There is a moderate degree of periventricular and subcortical confluent hyperintense white matter lesions present identified on the FLAIR and T2 images.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 right A1 segment appears smaller than the left A1 segment. The left internal carotid artery appears larger than the right internal carotid artery. The right vertebral artery appears larger than the left vertebral.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. The eyeball lenses are thin.
1.There is a subacute lacunar infarct present involving right basal ganglia and adjacent posterior limb of internal capsule.2.There are multiple microhemorrhages present throughout the basal ganglia, thalami, cerebellum, brainstem and subcortical and periventricular white matter. This could be related to hypertension and/or amyloid angiopathy but is nonspecific in etiology.3.Periventricular and subcortical white matter lesions of a moderate degree are nonspecific. At this age they are most likely vascular related. MRI of the brain is within normal limits