35 years Female (DOB:10/18/1980)Reason: preop planning for brain biopsy. To be done under general anesthesia right before her OR time History: preopPROVIDER/ATTENDING NAME: BAKHTIAR YAMINI EHTASHAM G KHATTAK Since prior exam some leptomeningeal enhancement has resolved.Periventricular and subcortical white matter lesions of a mild degree are nonspecific but unchanged since the prior exam. At this age they are most likely vascular related. Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. Punctate foci of T2 signal hyperintensity also present in the middle cerebellar peduncles which were also present on the prior exam and have not changed substantially. They were less conspicuous on the 5/5/2016 exam.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 are retained secretions in the nasopharynx and the patient appears to be status post intubation.
1.Please note that this examination was performed for the purpose of stereotactic guidance during surgery and is a limited exam. 2.There is no residual leptomeningeal enhancement convincingly appreciated on the current exam.3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 4.Punctate lesions in the middle cerebellar peduncles are redemonstrated and stable since the prior exam but new since the 5/5/2016 exam. It is suspected to be sequela of the patient's prior leptomeningeal disease.