56 years Female (DOB:12/25/1959)Reason: please assess for atrophy History: MoCA score is 16, psychosisPROVIDER/ATTENDING NAME: KAMALA GULLAPALLI COTTS The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild to moderate degree of centrum semiovale, periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.On susceptibility weighted imaging there are punctate foci of signal loss present within the pons and left thalamus.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 demonstrate mild mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter lesions of a mild to moderate degree are nonspecific. They are most likely vascular related. Please note that this degree of periventricular white matter lesion accumulation is more than expected at this age.2.Several microhemorrhages are noted in the brainstem and left thalamus. There are location suggests that these could be related to hypertension but they are nonspecific3.The degree of brain atrophy is commensurate with the patient's stated age.