82 years Female (DOB:12/25/1933)Reason: eval brain tumor and other causes of syncope History: syncopePROVIDER/ATTENDING NAME: KRISTINA K GALLOW EDWIN RAMOS There is a 42 x 39 mm axial dimension mass located in the trigone of the right lateral ventricle which has heterogeneous enhancement with any it is near signal void on T2 and FLAIR imaging and low signal on T1 imaging but heterogeneous. It is associated with enlargement of the adjacent lateral ventricle especially the occipital horn and some periventricular signal hyperintensity and subcortical signal hyperintensity in the adjacent right parietal lobe.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 visualized portions of the paranasal sinuses demonstrate mucosal thickening in the right maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is a mass present within the trigone of the right lateral ventricle which appears to arise from the choroid plexus. It is associated with the adjacent periventricular edema. Based on its signal characteristics and intraventricular meningioma is suspected. Other differential considerations could potentially include choroid plexus papilloma, choroid plexus carcinoma, metastases, glial tumor and lymphoma. A CT scan may help assess for the presence of calcifications if clinically appropriate.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 