83 years Male (DOB:6/26/1932)Reason: cause of seizure History: seizurePROVIDER/ATTENDING NAME: DAVID A HARTER JOHN P KRESS There is a moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. There are a few punctate foci of signal hyperintensity on T2 and FLAIR imaging located in the brainstem thalami and external capsules.The lateral ventricles are fairly large. The biventricular diameter is approximately 47 mm on axial imaging. On coronal imaging at the level of the foramen of Monro biventricular diameter is 47 mm. The temporal horns of the lateral ventricles are large. The third ventricle measures approximately 12 mm diameter. The fourth ventricle also appears fairly large.No foci of diffusion restriction are appreciated intracranially.Is a focus of susceptibility effect present in the right thalamus medially and another one in the left cerebellar hemisphere.Much of the imaging is degraded by patient motion.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. The eyeball lenses are thin.
1.Periventricular and subcortical white matter lesions of a moderate degree are nonspecific. At this age they are most likely vascular related. 2.Punctate lesions in the brainstem, thalami and external capsules are likely vascular related.3.There are microhemorrhages present. Underlying cause is not clear. The locations could suggest hypertension but this is nonspecific. Only a couple right identified4.There is ventriculomegaly present. The possibility of normal pressure hydrocephalus cannot be excluded.5.Exam is moderately degraded due to patient motion which would obscure more subtle abnormalities