53 years Female (DOB:2/11/1963)Reason: 1 month of headache, visual change, R tongue sensation change, ? L facial droop History: as abovePROVIDER/ATTENDING NAME: MURRAY J KEENE RICHARD G KRAIG There is subtle gyral enhancement and some leptomeningeal enhancement present along the right occipital lobe. There is associated T2 and FLAIR hypointensity along the adjacent subcortical white matter and some mild diffusion restriction.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.There is gyral enhancement along the right occipital lobe. Differential considerations include subacute infarction as well as an inflammatory or infiltrating process such as meningoencephalitis or granulomatous disease or lymphomatous disease.2.Findings were discussed with Dr. Burns at the time of this dictation