55 years Male (DOB:10/31/1960)Reason: Eval for structura lesions History: foot drop, leg weaknessPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There are several punctate subcortical white matter lesions present which are high signal on T2 and FLAIR MRI.There is a 25 x 16 mm sagittal dimension mass high signal on T1 which is just below the subcutaneous fat. Most likely it represents a lipomaNormal 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 are few subcortical white matter lesions present which are nonspecific. They are very common in most likely of little clinical significance.2.Lipoma the left upper neck adjacent to the occiput.3.There is no intracranial mass lesion or cerebral infarction to account for the patient's symptoms.