55 years Female (DOB:8/18/1960)Reason: leptomeningeal disease , History: seizures , AMSPROVIDER/ATTENDING NAME: EHTASHAM G KHATTAK WENDY STOCK The lateral and third ventricles are mildly dilated.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.No abnormal enhancing 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. The dural sleeves are mildly ectatic.
1.The ventricles are mildly dilated. In isolation this is non-specific. An underlying cause is not identified on this exam.2.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 