Diagnosis: Other symptoms and signs involving cognitive functions and awarenessClinical question: cognitive declineSigns and Symptoms: memory impairmentComments: Patient doesn't recall whether she has a pin in her foot from a fracture repair. | The CSF spaces are appropriate for the patient's stated age with no midline shift. 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.There were several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Given their small number and the high frequency with which these types of lesions are identified in the general population, they are of little clinical significanceThe visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells demonstrate partial opacification of the right mastoid air cells. The visualized portions of the orbits are intact.
1.MRI of the brain is within normal limits.2.Opacification of the right mastoid air cells is a nonspecific finding which could relate to inflammation or retained secretions though there is no underlying cause appreciated on this exam.