35 years Female (DOB:10/18/1980)Reason: r/o leptomeningeal disease - CVA History: confusion , hx of metastatic urothelial cancerPROVIDER/ATTENDING NAME: EHTASHAM G KHATTAK EHTASHAM G KHATTAK There is a punctate focus of diffusion restriction present in the right centrum semiovale near its junction with the internal capsule.The CSF spaces are appropriate for the patient's stated age with no midline shift. Much of the imaging is degraded by motion artifact.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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.
1.Acute microinfarct in the right centrum semiovale.2.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.3.Examinations markedly degraded by patient motion which will obscure more subtle abnormalities including leptomeningeal enhancement.