Diplopia [H53.2] / Dizziness and giddiness [R42], Reason for Study: ^Reason: eval for structural lesion vs ischemia History: episodes of dizziness and double vision No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.Scattered patchy high signal intensity lesions on bilateral white matter indicate nonspecific 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 mastoid air cells are clear.A retention cyst on the right maxillary sinus.
No evidence of acute ischemic or hemorrhagic lesion.No abnormal enhancement.Minimal nonspecific small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.