56 years Male (DOB:2/7/1960)Reason: stroke versus right parietal mass History: left hand numbnessPROVIDER/ATTENDING NAME: KOUROSH J REZANIA KOUROSH J REZANIA There are patchy T2 and FLAIR hyperintense lesions present in the parietal subcortical white matter involving the right parietal subcortical white matter more than the left. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. There is no associated contrast enhancement with these lesions.There is a subgaleal focus of soft tissue thickening present adjacent to the parietal bones bilaterally along the midline measuring approximately 23 x 10 mm axial dimensions. It is associated with susceptibility effect on the susceptibility weighted imaging.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 minor mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter lesions of a mild to moderate degree are nonspecific. Most likely these are vascular related. 2.There is no evidence for acute ischemic cerebral infarction.3.Findings are suspicious for hematoma along the subgaleal scalp tissues at the level of the parietal bones at the midline.