30 years Female (DOB:8/6/1985)Reason: evaluate for intracranial abnormality given CT findings History: concern for PRESSPROVIDER/ATTENDING NAME: TIEN S DONG TIEN S DONG The CSF spaces are appropriate for the patient's stated age with no midline shift. A focus of encephalomalacia is present in the left parietal lobe. It is associated with some adjacent dilation of the left lateral ventricle.There is a small T2 and FLAIR hyperintense focus present along the gyri adjacent to the posterior aspect of the left superior frontal sulcus measuring 15 mm suggestive of a small focus of encephalomalacia.There is patchy T2 and FLAIR signal hyperintensity within the brainstem associated with volume loss in the brainstem. The cerebellum is relatively small.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. There is generalized brain atrophy present.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The left eyeball lens is thin.
1.There is generalized brain atrophy present which is unusual for age 30.2.There is encephalomalacia involving the left parietal lobe. A possible this is related to prior vascular type injury.3.A small focus of encephalomalacia is present in the left frontal lobe.4.There is cerebellar atrophy present. This is in excess of the patient's stated age.5.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. It is possible they're vascular related, however, they're nonspecific it could also be related to other entities. They are unusually high in number for this age.6.Lesions within the brainstem are suspected to be vascular related.