38 years Female (DOB:2/13/1978)Reason: new leukemia, HA, eval for hemorrhage or small strokes (no neuro deficits) History: see abovePROVIDER/ATTENDING NAME: CARA ANN ROSENBAUM SERVICES ANCILLARY The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 5 x 3 mm axial dimension enhancing focus present in the left occipital lobeA couple punctate foci of diffusion restriction are present in the right and left occipital lobes.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 partial opacification of the left sphenoid sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is small enhancing lesion present in the left occipital lobe and the possibility this represents leukemic involvement given the patient's clinical history cannot be excluded. Another strong possibility is that this represents a subacute focus of cerebral infarction. 2.A couple punctate foci of diffusion restriction are present in the occipital lobes. It is quite possible this represents microinfarcts in the appropriate clinical setting.3.Opacities within the left sphenoid sinus are nonspecific but could represent acute sinusitis.