SLE with urinary incontinence and poor memory. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a punctate nonspecific focus of T2 hyperintensity in the isthmus of the left parietal lobe. There is no abnormal intracranial enhancement. 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. There are prominent arachnoid granulations in the occipital bone. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Spine: There is a posterior disc-osteophyte complex that impinges upon the spinal cord at T10-11. There is also associated mild bilateral neural foraminal stenosis at this level. There is no evidence of spinal cord signal abnormality, however. The cauda equina nerve roots are intact. There are multiple lower cervical and lower thoracic intravertebral disc herniations, but the vertebral body heights are otherwise preserved. There is no spondylolisthesis. The vertebral bone marrow signal is unremarkable throughout. There are left paraspinous cysts at L4 and L5.
1. A punctate nonspecific focus of T2 hyperintensity in the isthmus of the left parietal lobe may represent a chronic ischemic lesion. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Compression of the spinal cord by a T10-11 posterior disc-osteophyte complex.3. No evidence of inflammatory spinal cord lesions.Discussed with Dr. Trotter at 4:40 PM on 1/29/16.