Reason: leukemia. HA. New binocular History: diplopia. The CSF spaces are appropriate for the patient's stated age with no midline shift. Multiple punctate foci of susceptibility are scattered in the genu, body and splenium of the corpus callosum as well as the periventricular white matter.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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. Susceptibility artifact partially obscures the eyes.In general the marrow signal is relatively low, however, this is not too unusual in a younger age.
1.Multiple microhemorrhages are present in the genu, body and splenium of the corpus callosum as well as the periventricular white matter. This pattern is rather unusual but has been seen with a prior history of high altitude cerebral edema. Please correlate with clinical history2.No brain stem lesions are appreciated specifically to explain the patient's diplopia.3.Low marrow signal the calvarium is a nonspecific finding and can be seen at younger age but also with myeloproliferative disorders.