67 yo Female with dizziness. Evaluate for vestibular pathology. MRI Brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered periventricular and subcortical white matter T2/FLAIR hyperintensity, which is nonspecific but likely related to chronic small vessel ischemic disease. There is no evidence of abnormal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. Incidentally noted mildly cystic appearance to the pineal gland.MRI IACs:The internal auditory canals are symmetrical and normal in size and signal intensity. The inner ears are normal, with normal T2 signal and no pathological enhancement. No abnormal mass or abnormal enhancement is seen within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals.
1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.The MRI of the IACs appears unremarkable.3.Scattered chronic likely small vessel ischemic disease.