42 years Female (DOB:8/7/1973)Reason: history of cns vasculitis, eval for changes History: history cns vasculitisPROVIDER/ATTENDING NAME: JAMES J CURRAN JAMES J CURRAN There is encephalomalacia present along the right some central lobule extending to the adjacent pre and postcentral gyri and right inferior parietal lobule and posterior aspect of the right superior temporal gyrus. There are associated signal changes in the adjacent right superior parietal lobule and right middle frontal gyrus. There is associated ex vacuo effect along the right lateral ventricle. There is some associated gyriform susceptibility effect present.A small focus of encephalomalacia is present along the left parietal lobe in a watershed zone just behind the postcentral sulcus. There are patchy foci of T2 and FLAIR signal hyperintensity left middle frontal gyrus.There is atrophy of the right cerebral peduncle. There are findings suggestive of Wallerian degeneration.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 demonstrate mucosal thickening in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Encephalomalacia along the right middle cerebral artery distribution associated with Wallerian degeneration.2.Small foci of encephalomalacia in the left parietal lobe and patchy lesions in the left middle frontal gyrus which are probably related to prior vascular events.