80 years Female (DOB:9/14/1935)Reason: 1 year follow up History: left parietal massPROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 6 x 9 mm coronal dimension sessile extra-axial lesion adjacent to the left calvarium and adjacent to the left parietal lobeThere is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There is effacement of spinal fluid posterior the spinal cord at the C1 level with partial effacement of spinal fluid ventral to the spinal cord at this level. There is mild anterior subluxation of C1 relative to C2.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. The eyeball lenses are thin.
1.A calcified extra-axial lesion is present adjacent left parietal lobe which is stable. This could represent a burnt out meningioma.2.Findings are suspicious for mild spinal stenosis at the C1 vertebral level associated with mild subluxation at C1-C2. If clinically appropriate, additional imaging of this region may be helpful to further evaluate this.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 