58 years Female (DOB:2/20/1958)Reason: assess for metastatic ovarian cancer History: quadrantanopsia on MEK inhibitor for ovarian cancerPROVIDER/ATTENDING NAME: SEIKO DIANE YAMADA SEIKO DIANE YAMADA The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several 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 demonstrate some scattered opacities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. It is not clear whether there is any optic nerve enhancement on this exam.
1.There is no evidence for brain metastases. It is not clear whether there is any optic nerve enhancement on this exam. Although no orbital lesion is clearly appreciated on this exam, this is not a dedicated study for evaluating orbits and optic nerves. As a result, small or subtle lesions in the orbits may be overlooked. If clinically appropriate MRI orbits further benefit. 2.Several periventricular and subcortical white matter lesions are nonspecific. They are frequently seen at this age and given their small number are of little clinical significance.