72 years Female (DOB:3/2/1944)Reason: mass? stroke? History: choreaPROVIDER/ATTENDING NAME: CHRISTINE A. BABCOCK Small focus of diffusion restriction is present along the left basal ganglia.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 to moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Additional T2 and FLAIR hyperintense lesions basal ganglia and brainstem.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 minor opacities. The visualized portions of the mastoid air cells are partially opacified. The visualized portions of the orbits are intact.The visualized portions of the cervical spinal canal or small. There is an MRI from 2/5/2016 which demonstrates a small cervical spinal canal associated degenerative changes.
1.Findings are compatible with acute or subacute lacunar infarct in the left basal ganglia.2.Periventricular and subcortical white matter lesions of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. 3.Findings are suspicious for possible spinal stenosis ovale current exam. Please correlate with patient's clinical symptoms.