63 years Female (DOB:11/14/1952)Reason: chronic infarcts or focus for seizure? History: repeated episodes of transient R-sided weaknessPROVIDER/ATTENDING NAME: NAOUM P ISSA NAOUM P ISSA 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.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 demonstrate partial opacification of the left mastoid air cells.. The visualized portions of the orbits are intact.A well-circumscribed 18 x 11 mm axial dimension lesion is present in subcutaneous tissues the left occipital scalp most likely representing a sebaceous cyst.
No evidence for acute ischemic cerebral infarction.No evidence for intracranial mass lesionThere are several periventricular and subcortical white matter lesions which are nonspecific. At this age they are most likely vascular related. 