44 years Male (DOB:10/31/1971)Reason: follow up existing Pineal cyst found on the previous brain MRI. History: headachePROVIDER/ATTENDING NAME: JAMES X. TAO JAMES X. TAO 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 is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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 pineal gland measures approximately 8 x 10 mm sagittal dimensions and has a cystic appearance which is high signal on T2 and FLAIR. This is stable compared to prior exam.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's pineal cyst is stable compared to prior exam.2.No lesions are identified in the brain parenchyma to explain patient's seizures.3.Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. They have not changed since prior exam.