43 years Female (DOB:12/14/1972)Reason: please do dr Javed MS protocol and compare to prior History: numbness, headachesPROVIDER/ATTENDING NAME: JACQUELINE T. BERNARD JACQUELINE T. BERNARD There is a 39 x 50 mm axial dimension cyst in the right middle cranial fossa associated with expansion of the right middle cranial fossa. It follows the signal characteristics of spinal fluid on all pulse sequencesThere is a punctate T2 and FLAIR hyperintense lesion present in the left periventricular white matter. In isolation this is of unknown clinical significance. This does not appear to have changed since the prior exam.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.
1.No convincing evidence for foci of demyelination are identified in the brain. There is a punctate T2 and FLAIR hyperintense lesion present in the left periventricular white matter. In isolation this is of unknown clinical significance. This does not appear to have changed since the prior exam.2.Right middle cranial fossa arachnoid cyst.