Reason: r/o CVA History: confusion, syncope like episode with LE weakness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild/minimal degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This is not unusual at this age and was previously present.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 a minor right sphenoid sinus opacity. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The eyeball lenses are thin.Images are degraded by patient motion.
1.There is no evidence for acute cerebral infarction appreciated.2.Several periventricular and subcortical white matter changes of a mild degree are nonspecific and likely age related with little clinical significance.