AMS x 2 weeks. A punctate, T2 hyperintense, extra-axial lesion adjacent to the posterior right temporal lobe. There is no evidence of intracranial hemorrhage or acute infarct. There are scattered punctate and confluent areas of periventricular and subcortical white matter T2 abnormality, most compatible with chronic small vessel ischemic disease. There is diffuse mild cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. There is mucosal thickening in the right sphenoid sinus, with sclerosis of the surrounding sinus walls. There is fluid in the left mastoid air cells. There are bilateral lens implants.
1.No evidence of acute infarct.2.Moderate chronic small vessel ischemic changes and mild cerebral volume loss.3.A small extra-axial lesion adjacent to the right temporal lobe likely represent a meningioma, but is incompletely characterized.4.Fluid in the left mastoid air cells may represent mastoiditis.5.Chronic right sphenoid sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.