Evaluate for MS lesions, history of ptosis and right hyperreflexia There is a 7mm FLAIR hyperintensity of the left parieto-occipital junction white matter adjacent to the cortex. There are nonspecific mild punctate FLAIR hyperintensity of the left frontal, left occipital, and right occipital lobe white matter. No abnormal diffusion restriction. No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or midline shift. No extra-axial fluid collections. The ventricles, sulci, and cisterns are normal in size without evidence of hydrocephalus. Gray-white matter differentiation is preserved. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are intact. The osseous structures are unremarkable.
1.There is a 7mm FLAIR hyperintensity of the left parieto-occipital junction white matter adjacent to the cortex. 2.There are nonspecific mild punctate FLAIR hyperintensities of the left frontal, left occipital, and right occipital lobe white matter. 3.The above findings are nonspecific with a differential which would include demyelination, vasculitis, and sequelae of prior inflammation or injury.