Right hearing loss, dizziness. Examination is motion degraded. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. There is mild global parenchymal volume loss commensurate with age. 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 mild chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. Brain MRI is motion degraded but demonstrates no evidence of intracranial mass or mass-effect. Mild chronic small vessel ischemic changes are seen; brain parenchyma is otherwise unremarkable for age. 2. Please note patient was heavily sedated and excessively moving. Additional requested MRI IAC and MRA studies were not obtained and patient will be rescheduled. 