40 years Female (DOB:5/10/1976)Reason: r/o CVA History: sudden severe headache, R eye ptosis and facial asymmetryPROVIDER/ATTENDING NAME: PATRICIA CHAPMAN-KELLY PATRICIA CHAPMAN-KELLY The CSF spaces are appropriate for the patient's stated age with no midline shift. No foci of diffusion restriction are appreciated. There is a punctate T2 and FLAIR hyperintense lesion in the left frontal periventricular white matter.No abnormal enhancing 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 diffuse marrow replacement present.
1.There is no evidence for acute ischemic cerebral infarction.2.There is a left periventricular white matter lesion present which in isolation is probably of little clinical significance.3.There is diffuse marrow replacement present which is probably related to patient's known sickle cell.