69 years Female (DOB:8/21/1947)Reason: evaluate for possible encephalomalacia History: dysarthria and dysphagiaPROVIDER/ATTENDING NAME: NAOUM ISSA NAOUM ISSA The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There is an 18 x 11 mm extra-axial mass adjacent to the right cavernous sinus and internal carotid artery. It encircles the right anterior clinoid.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.There is an extra-axial mass suspicious for meningioma located in the right paraclinoid region. It abuts the right optic nerve. If clinically appropriate postcontrast imaging may be of further benefit in evaluating this.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 