75 years Female (DOB:3/24/1941)Reason: Alzheimer's vs Frontotemporal Dementia History: cognitive changesPROVIDER/ATTENDING NAME: JAMES A MASTRIANNI JAMES A MASTRIANNI The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a punctate focus of susceptibility effect in the right middle frontal gyrus subcortical white matter. This is not present on the prior exam from 2012. 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.Exam is mildly degraded due to patient motion.
No intracranial mass lesions are appreciated. An isolated microhemorrhage in the right frontal lobe is of little clinical significance.