Tremor, unspecified [R25.1], Reason for Study: ^Reason: assess for disease of basal ganglia History: new onset tremors. No evidence of acute ischemic or hemorrhagic lesion on the scan.Multifocal high signal intensity lesions on FLAIR/T2 are seen at bilateral frontal lobes, parieto-temporal lobes, periventricular white matter and centrum semiovale indicating non specific small vessel ischemic disease, unchanged in their extent and distribution since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. Mucosal thickening on sphenoid sinus and bilateral maxillary sinuses.Right mastoid air cells show opacification.
No change of non specific FLAIR/T2 high signal intensity lesions since prior scan, indicating non specific small vessel ischemic disease.No evidence of acute ischemic or hemorrhagic lesion.