44 years Female (DOB:1/4/1972) PROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY The patient status post suboccipital craniectomy for Chiari decompression. Since prior exam postoperative inflammatory changes have resolved. Previously noted extracranial collections have resolved. There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. These are stable since prior exams and likely of little clinical significance given the small number.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.The patient is status post decompressive posterior fossa craniectomy for Chiari I malformation. CSF flow at the level of the foramen magnum is biphasic. Previously noted extracranial collections have resolved.