69 years, Female, Reason: L sided hemisensory deficit There is mild restricted diffusion involving the right thalamus without clear corresponding area of low signal on the ADC map. There is associated FLAIR hyperintensity. No other focus of restricted diffusion to suggest additional infarcts. There is a small extra-axial lesion measuring 9 x 11 mm along the left anterior frontal convexity which is incompletely evaluated without contrast but favored to represent a small meningioma. Otherwise no intracranial mass or mass effect. No intracranial hemorrhage. The ventricles are within normal limits in size and configuration. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with chronic small vessel ischemic disease. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.There is focus of low T1 and low T2 signal involving the right parietal calvarium measuring up to 2.3 cm in diameter without corresponding lytic changes on recent CT.
1. Mild restricted diffusion involving the right thalamus with corresponding FLAIR hyperintensity is consistent with an acute to subacute infarct.2. 9 x 11 mm extra-axial lesion along the left anterior frontal convexity is incompletely evaluated without contrast but favored to represent a small meningioma. No significant associated mass effect.3. Nonspecific 2.3 cm lesion involving the right inferior parietal calvarium without corresponding destructive changes on recent CT. Remainder of the calvarium is otherwise unremarkable.Dr. Ali discussed findings with Dr. Del Brutto at 12:50 PM on 7/30/2015