32 years Female (DOB:9/21/1983)Reason: s/p cerebral edema History: seizurePROVIDER/ATTENDING NAME: FERNANDO D GOLDENBERG FERNANDO D GOLDENBERG The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several periventricular and subcortical white matter lesions present. One adjacent to the trigone of the right lateral ventricle measures approximately 16 x 7 mm axial dimensions. The others are punctate in size. The right periventricular white matter lesion associated with adjacent enlargement of the trigone of the right lateral ventricle.No abnormal enhancing lesions are appreciated intracranially. The postcontrast imaging is somewhat degraded due to patient motion artifact.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.
1.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. One lesion adjacent to trigone of the right lateral ventricle may represent a small focus of encephalomalacia from unknown cause.2.No abnormal intracranial mass lesions are appreciated.3.Examination is somewhat degraded due to patient motion which may obscure more subtle abnormalities.