41 years Female (DOB:12/1/1975)Reason: rule out CVA History: right arm and face numbnessPROVIDER/ATTENDING NAME: JAMES X. TAO JAMES X. TAO The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post right temporal craniotomy. There is encephalomalacia present in the right temporal lobe. This appearance is stable compared to the previous exam.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This appearance is stable compared to the previous exam.Small foci of T2 and FLAIR hyperintensity are also present along the gray matter in the left watershed zone predominantly involving the left frontal lobe cortex and subcortical white matter. This appearance is stable compared to the previous exam.Several punctate foci of susceptibility are present in the right middle frontal gyrus subcortical white matter. This appearance is stable compared to the previous exam.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.The patient status post right middle cranial fossa surgery. There is encephalomalacia present in the right temporal lobe.2.Findings suggest prior small watershed distribution infarctions in the left frontal lobe. This appearance is unchanged since previous exams. 3.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 