86 years Female (DOB:8/28/1930)Reason: etiology for memory deficit History: forgetfulPROVIDER/ATTENDING NAME: JAMES A. MASTRIANNI IRSK JASON ANDERSON The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. These are relatively stable compared to the prior exam. Additional T2 and FLAIR hyperintense patchy lesions are present in the brainstem, external capsules and internal capsules. These too appear to be stable.No abnormal 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.There is diffuse calvarial thickening present which was also present on the prior exam this predominantly involves the frontal bones and occipital bones.
1.No evidence for acute ischemic cerebral infarction.2.Calvarial thickening with findings suggestive of patches disease.3.Periventricular and subcortical white matter lesions as well as lesions in the brainstem, external capsules and internal capsules of a mild degree are nonspecific. At this age they are most likely vascular related. This is stable compared to the prior exam.