82 years Female (DOB:9/12/1933)Reason: SAH history, source of bleeding not identified History: h/o SAHPROVIDER/ATTENDING NAME: JAMES R BRORSON JAMES R BRORSON MRI of the brainNo diffusion weighted abnormalities are appreciated.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 FLAIR and T2 images.No abnormal 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.MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.There is no evidence for intracranial aneurysm or cerebrovascular occlusion.The anterior communicating artery is identified and is small.. The posterior communicating arteries are tiny. The vertebral arteries are similar in size. The anterior inferior cerebellar arteries appear to predominate over the posterior inferior cerebellar arteries.
1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 