7 years Female (DOB:2/9/2009)Reason: r/o HHV6 infection History: change in mentationPROVIDER/ATTENDING NAME: GRACE P CHONG GRACE P CHONG The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of confluent periventricular T2 and FLAIR hyperintense white matter which remains fairly stable compared to the previous exam.There is a small T2, FLAIR hyperintense focus in the left cerebellar 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 demonstrate partial opacification The visualized portions of the mastoid air cells are partially opacified. The visualized portions of the orbits are intact.
1.Increased T2 signal within the periventricular white matter which is nonspecific but favored to reflect treatment effect..2.There is a new small lesion in the left cerebellar white matter. This is nonspecific. One possibility is that this represents an infection.3.Persistent opacification of the paranasal sinuses, mastoid air cells, and middle ears.4.No new lesions are appreciated within the brain parenchyma.