Clinical question: Evaluate for mass or other abnormality. Signs and symptoms: Confusion and memory loss. Pre-and post-enhanced brain MRI:Negative diffusion weighted series.Examination demonstrates patchy foci of flair hyperintensity only in the periventricular and convexity subcortical white matter of cerebral hemispheres. Although the findings are nonspecific considering patient's stated age of 73 they could represent microvascular ischemic disease of mild degree. The anatomical morphology and the signal intensity of the brain parenchyma is otherwise entirely within normal on all MRI sequences for patient's stated age.Unremarkable cerebral cortex, cortical sulci, ventricular system and the CSF spaces.Negative post enhanced images for any abnormal enhancement the brain parenchyma, the meninges, calvarium, soft tissues of the scalp or the orbits.All paranasal sinuses and bilateral mastoid air cells and middle ear cavities demonstrate normal pneumatization signal patterns.
1.No acute intracranial process.2.Findings suggestive of mild chronic small vessel ischemic strokes in the in the subcortical and periventricular white matter.3.Unremarkable pre-and post enhanced brain MRI as detailed otherwise.4.Unremarkable calvarium, orbits, paranasal sinuses and mastoid air cells.