Pt with baseline ataxia with episodic exacerbations, evaluate cerebellum FLAIR images are degraded due to motion artifact. Within this limitation there are scattered foci periventricular white matter FLAIR hyperintensity. The fissures of the cerebellar vermis are prominent suggesting atrophy of the vermis.No abnormal diffusion restriction. No acute intracranial hemorrhage is identified. No evidence of intracranial mass, mass-effect, or midline shift. No extra-axial fluid collections. The ventricles, and cisterns are normal in size without evidence of ventriculomegaly. Gray-white matter differentiation is preserved. Left maxillary mucous retention cyst. Nonspecific mild ethmoid air cell mucosal thickening. Mastoid air cells are clear. The orbits are intact. The osseous structures and scalp soft tissue appear unremarkable.
1.Findings suggestive of atrophy of the cerebellar vermis. 2.Scattered foci of white matter signal abnormality are nonspecific.