Patient presenting with sensation of dysequilibrium, with concern for cerebellar findings on examination. History: Difficulty with tandem gait. Finger to nose with concern for ataxia on the left. Reflexes in the left biceps and left brachioradialis slightly increased compared to the right. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are patchy areas of T2 hyperintensity scattered in the bilateral cerebral hemispheres. There is a small left superior frontal gyrus developmental venous anomaly. The cerebellum and brainstem are unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
Background of probable chronic microvascular ischemic disease with no evidence of acute intracranial hemorrhage, mass, or acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.