58 years Female (DOB:12/17/1957)Reason: etiology of L sided weakness History: LUE and LLE weaknessPROVIDER/ATTENDING NAME: KOUROSH L REZANIA KOUROSH L REZANIA There is redemonstration of ventriculomegaly and confluent periventricular white matter signal hyperintensities extending to the subcortical white matter. Biventricular diameter on coronal imaging at the level of foramen of Monro is currently 42 mm and previously was 40 mm. Third ventricular diameter at the level of the massa intermedia is 8 mm on the current exam and was 8 mm on the prior exam. Fourth ventricle also appears similar. Corpus callosum is thin.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.There is diffuse cerebral atrophy present and loss of white matter which has very subtly progressed since the prior exam. There is no evidence for acute cerebral ischemic infarction. Underlying etiology is uncertain.