55 years Female (DOB:8/18/1960)Reason: Ph + ALL with intracranial relapse - possible seizure and noted to have increased ventricle size History: AMSPROVIDER/ATTENDING NAME: EHTASHAM G KHATTAK WENDY STOCK The lateral and third ventricles are mildly dilated.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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.Motion artifact degrades the exam.
1.The ventricles are mildly dilated. In isolation this is non-specific. An underlying cause is not identified on this exam.2.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 3.Exam is degraded due to patient motion artifact which may obscure more subtle abnormalities. For example it is unclear if there is underlying mild ependymal or leptomeningeal disease or this appearance is a product of artifact.