64 years Male (DOB:7/12/1952)Reason: r/o posterior fossa infarct/lesion History: gait imbalancePROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ There is patchy and T2 and FLAIR signal hyperintensity present within the brainstem.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There are 10-15 punctate foci of signal loss and susceptibility imaging is present in the right centrum semiovale. In isolation this is of unknown clinical significance.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.
1.Periventricular and subcortical white matter lesions of a mild degree and patchy lesions in the brainstem are nonspecific. At this age they are most likely vascular related. 