35 years Female (DOB:10/18/1980)Reason: NEED T2 IMAGING ALONG WITH CONTRAST IMAGES STEALTH PROTOCOL. Preop planning for biopsy History: preop planningPROVIDER/ATTENDING NAME: BAKHTIAR YAMINI BAKHTIAR YAMINI The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the T2 images.There are punctate foci of T2 hyperintensity in the brainstem and cerebellum as well as the thalami and basal ganglia.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Please note that this examination was performed for the purpose of stereotactic guidance during surgery. There are multiple subcortical and periventricular white matter lesions as well as lesions in the cerebellum and leptomeninges adjacent to the cerebellum which previously demonstrated contrast enhancement, however, these lesions currently no longer enhance but do demonstrate T2 signal hyperintensity. These are non-specific. One possibility is that these represent treated lesions.