70 years Female (DOB:10/7/1945)Reason: evaluate olfactory bulb/clefts History: anosmia x 7-8 years of unknown etiologyPROVIDER/ATTENDING NAME: SAMANTHA M ZUNICH ROBERT M NACLERIO The CSF spaces are appropriate for the patient's stated age with no midline shift. Findings suggest a developmental venous anomaly in the left frontal lobe. On susceptibility imaging and postcontrast imaging there is a lesion with a cap reduce a appearance within the left frontal lobe white matter directed towards the left inferior frontal gyrus.There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Given the patient's stated age of 70 0 little clinical significance.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.
No intracranial mass lesion is appreciated and no explanation for the patient's and nausea can be ascertained based on this exam.