67 years Male (DOB:7/8/1949)Reason: evaluate for cause of movement disorders and dementia History: shuffling walk, slurred speech, limited EOMPROVIDER/ATTENDING NAME: JAMES A MASTRIANNI JAMES A MASTRIANNI There is a mild degree of generalized brain atrophy present with atrophy of the hippocampi. There are subdural effusions present in the posterior fossa. This is probably related to atrophy.There is a mild (5-10) degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. 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. The eyeball lenses are thin.
1.There is no evidence for acute ischemic cerebral infarction.2.Findings suggest cerebral atrophy.3.There is no evidence for intracranial mass lesion4.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 