h/o ballismus/myoclonus in all extremitiesSigns and Symptoms: eval for basal ganglia lesion The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This is stable compared to the prior exam. It is likely of little clinical significanceThere is redemonstration of a left parafalcine calcification unchanged since prior exams and also seen on the CT scan from 12/7/2011Normal 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.Incidental note is made of partial empty sella.
The examination is stable compared to the previous exam from 2 years ago. No abnormal lesions are appreciated intracranially to explain the patient's symptoms