Right upper extremity numbness, memory loss and right-sided headache x 6 weeks. No intracranial mass or mass-effect. There is mild global parenchymal volume loss which appears within normal limits for age. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. There is mild mucosal thickening throughout the paranasal sinuses. Mastoid air cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. Examination is essentially unremarkable for age. No intracranial mass or mass effect. Mild global parenchymal volume loss.2. Scattered T2/FLAIR hyperintensities in the white matter, which are nonspecific and may represent mild small vessel ischemic change I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.