55 years Female (DOB:3/17/1961)Reason: aphasia etiology History: aphasiaPROVIDER/ATTENDING NAME: AGNIESZKA ANNA ARDELT RIMAS V LUKAS There are patchy foci of FLAIR and T2 signal hyperintensity present within the gray and white matter adjacent to the superior frontal sulci medial parietal lobes and occipital lobes as well as along the medial straightening bilaterally and the medial aspects of the thalami. Couple punctate foci of T2 signal hyperintensity are also present in cerebellum.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. The eyeball lenses are thin.
Patchy lesions scattered in the medial aspects of the frontal lobes, parietal lobes and occipital lobes as well as neostriatum, thalami and to lesser degree cerebellar are present. Differential considerations include posterior reversible encephalopathy syndrome with some atypical features. Other considerations such as severe hypoglycemia and encephalitis are conceivable in the right clinical setting. There is no significant diffusion restriction appreciated. .