86 years Male (DOB:6/18/1930)Reason: new occipital left headache History: as abovePROVIDER/ATTENDING NAME: SCOTT STERN SCOTT STERN The CSF spaces are appropriate for the patient's stated age with no midline shift. On susceptibility imaging there is a focus of signal loss present within a sulcus in the right temporal lobe. On T2 imaging the lesion measures approximately 4 x 5 mm axial dimensions.Periventricular punctateNo 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 some mucosal thickening in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.
1.There is a small hemorrhagic lesion present within a right temporal lobe sulcus. One possibility is that this represents a cerebral cavernous malformation. Hemorrhagic lesions from other sources can also produce such a lesion. If the patient has known primary tumor this could represent a hemorrhagic metastasis.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 