51 years Male (DOB:6/23/1964)Reason: cause of LE weakness? PML? History: B-LE weakness, AIDSPROVIDER/ATTENDING NAME: VINEET A ARORA VINEET A ARORA The CSF spaces are appropriate for the patient's stated age with no midline shift. 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 demonstrate partial opacification of the sphenoid sinuses and some mucosal thickening in the left maxillary sinus and left posterior ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no evidence for intracranial mass lesion or other explanation for the patient's lower extremity weakness.2.Partial opacification of the sphenoid sinuses is most likely inflammatory in nature.