69 years Female (DOB:6/11/1947)Reason: LLE weakness etiology History: LLE weaknessPROVIDER/ATTENDING NAME: JAMES A MASTRIANNI JAMES A MASTRIANNI The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Punctate foci of T2 and FLAIR signal hyperintensity also present in the brainstem and cerebellum which are also unchanged.The sagittal T1 images demonstrate degenerative changes in the cervical spine at C4-5 associated with the findings which raise the question of spinal stenosis.No abnormal 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. The eyeball lenses are thin.Examination is somewhat compromised due to patient motion which may obscure more subtle abnormalities.
1.There is no evidence for acute ischemic cerebral infarction.2.Periventricular and subcortical white matter lesions as well as lesions in the brainstem and cerebellum of a mild degree are nonspecific. At this age they are most likely vascular related. 3.Findings raise the question of spinal stenosis at C4-5 which is not adequately included on this exam for evaluation.