Acute onset of vertigo, persistent nystagmus when looking left. Dizziness and giddiness, evaluate for underlying pathology. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are few scattered foci of T2 hyperintense signal within the periventricular white matter, predominantly in the parietal lobe, right more than left and right frontal lobe. The pituitary gland appears unremarkable. 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. There is a small midline cystic lesion in the nasopharynx, which may represent a Thornwaldt cyst. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. A few cerebral white matter lesions are nonspecific, but may represent a demyelinating process, prior inflammation, migrainous headache, or vasculitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.