58-year-old female presents with hand numbness and pain, evaluate for stroke. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered punctate foci of abnormal T2 hyperintensity within the periventricular and subcortical white matter. There are also apparent scattered areas of cerebral sulcal FLAIR hyperintensity bilaterally. The pituitary gland appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is degenerative spondylosis in the imaged upper cervical spine.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Nonspecific scattered punctate periventricular and subcortical white matter lesions may represent mild chronic small vessel ischemic changes. 3. Apparent scattered areas of sulcal FLAIR hyperintensity may represent artifact or less likely meningitis, given the lack of corresponding clinical findings.The above findings were discussed via telephone with Dr. Mastrianni at 11:15 AM on 1/06/2016. 