66-year-old female PSP study patient, re-scan for the FLAIR per protocol due to motion in previous one. Limited evaluation with FLAIR images only again show atrophy of the midbrain. There also appears to be mild atrophy of the cerebellar vermis. There are minimal confluent and punctate foci of FLAIR hyperintensity within the supratentorial white matter which appears similar to the previous exam. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation.
1.Atrophy of the midbrain related to progressive supranuclear palsy. Please refer to the prior MRI for additional details.2.Nonspecific mild diffuse cerebral white matter abnormality may represent chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.