81 years Female (DOB:10/21/1934)Reason: ataxia evaluate cerebellum History: as abovePROVIDER/ATTENDING NAME: SCOTT STERN SCOTT STERN The CSF spaces are appropriate for the patient's stated age with no midline shift. There are small bilateral subdural effusions present which are most likely related to atrophy. Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. On susceptibility imaging is a punctate focus of susceptibility effect along the medial right temporal lobe adjacent to the temporal horn of the right lateral ventricle. In isolation this is of little clinical significance.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.
1.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 2.There is no evidence for acute ischemic cerebral infarction and no abnormal mass lesions are identified to explain the patient's ataxia.