Tremor, unspecified [R25.1] / Dizziness and giddiness [R42], Reason for Study: ^Reason: new onset tremor and dizziness, gait disorder History: new onset tremor and dizziness, gait disorder There is no evidence of acute ischemic or hemorrhagic lesion.There is no abnormal enhancement.Pituitary gland appears to be a bit prominent for the patient's age but the size is within normal limits (11.7mm x 8.6mm).Underlying brain shows multifocal scattered high signal intensity lesions on FLAIR/T2 images at bilateral periventricular white matter, centrum semiovale, basal ganglia and thalami indicating non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Non specific small vessel ischemic disease, otherwise unremarkable.No acute ischemic or hemorrhagic lesion.No abnormal enhancement.