79 years Male (DOB:10/3/1936)Reason: evaluate for metastasis. History: sarcomaPROVIDER/ATTENDING NAME: SAMIR D. UNDEVIA SAMIR D. UNDEVIA The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing 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.A punctate focus of signal loss is present in the isthmus of the right cingulate gyrus just medial to the trigone of the right lateral ventricle. In isolation this is of unknown clinical significance.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. The right eye lens is thin.
1.There is no evidence for intracranial mass lesion and no evidence for acute ischemic cerebral infarction. There is no evidence for brain metastases.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 