86 years Female (DOB:7/10/1929)Reason: eval for evolution of microhemorrhages History: hemorrhagic strokePROVIDER/ATTENDING NAME: FERNANDO D GOLDENBERG FERNANDO D GOLDENBERG No diffusion weighted abnormalities are appreciated.There is a small hemorrhagic focus in the right thalamus associated with surrounding signal hyperintensity of FLAIR. There is a moderate degree of periventricular and subcortical confluent hyperintense white matter lesions present identified on the available B0 images and available FLAIR images. This was also present on the prior exam.The exam is limited due to patient motion.
1.There is a small subacute right thalamic hemorrhage.2.Periventricular and subcortical white matter lesions as well as signal changes in the internal capsules, basal ganglia, brainstem and thalami are nonspecific. At this age they are most likely vascular related though they could be related to a neurodegenerative process such as nonspecific leukoencephalopathy of aging. This was also present on the prior exam.3.No evidence for acute ischemic cerebral infarction. 4.Exam is limited due to the patient's inability to cooperate to complete the exam and due to motion artifact. As a result the evaluation is not as complete as most MRI exams and abnormalities may not be identified.