35 years Female (DOB:10/18/1980)Reason: assess progression of ischemic disease seen on prior MRI History: altered mental statusPROVIDER/ATTENDING NAME: GINI FLEMING GINI FLEMING The CSF spaces are appropriate for the patient's stated age with no midline shift. There is continued evolution of microinfarcts in the right centrum semiovale which are no longer associated with diffusion restriction. There is no associated hemorrhagic conversion appreciated.A punctate T2 and FLAIR hyperintense focus in the left cerebellar hemisphere has also evolved.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.A couple T2 and FLAIR hyperintense foci are present within the basal ganglia and are unchanged since prior exam. These appear to have been more acute stage I 5/5/2016No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There is no evidence for leptomeningeal enhancement on this exam.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 small mucous retention cyst in the right maxillary sinus associated with some mucosal thickening. This is unchanged since prior exam.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Several lesions compatible with microinfarcts are present in the basal ganglia and left cerebellum which evolved since prior exams. 2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. They're suspected to be vascular related.3.There has been continued evolution of lesions in the right centrum semiovale which have been compatible with microinfarcts.