80 years Male (DOB:5/30/1935)Reason: memory loss History: memory lossPatient History: pt c/o headaches, dizziness, memory loss, patient moving on some scansPregnancy Assessment: Patient signed.PROVIDER/ATTENDING NAME: TIA R KOSTAS TIA R KOSTAS 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.On susceptibility imaging there are punctate signal hyperintensities along the hippocampi bilaterally but more on the right versus the left side.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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 are nonspecific. At this age they are most likely vascular related. 2.Microhemorrhages are suspected to be present along the hippocampi bilaterally - right more than left.