Other abnormalities of gait and mobility [R26.89] / Repeated falls [R29.6] / Malignant neoplasm of right ciliary body [C69.41], Reason for Study: ^Reason: melanoma, falls for 3 months. History: as above No evidence of acute ischemic or hemorrhagic lesion.Scattered T2/flair high signal intensity lesions on bilateral white matter are seen, these lesions are nonspecific and likely represent small vessel ischemic disease. Comparing to prior scan, grossly the number and size of which lesions are unchanged except left lateral ventricle frontal horn area periventricular white matter lesion which is slightly more prominent than before. Again this finding is nonspecific.There is no evidence of abnormal enhancement.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Grossly unchanged multifocal bilateral white matter T2/FLAIR high signal intensity lesions since prior scan, likely represent nonspecific small vessel ischemic disease.2. No evidence of abnormal enhancement.3. No evidence of acute ischemic or hemorrhagic lesion.