Diagnosis: Unspecified symptoms and signs involving the nervous systemClinical question: evaluate for cerebellar degeneration / atrophySigns and Symptoms: ataxia (trunk only), word finding difficulty, fatigue The CSF spaces are appropriate for the patient's stated age with no midline shift. Artifact somewhat obscures visualization of the lower medulla. No abnormal mass lesions are appreciated in the cerebellum.There is a developmental venous anomaly present in the left lower medulla.No 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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is no evidence for cerebellar atrophy on this exam.