Dizziness and giddiness [R42]. MRI BRAIN: There are a few scattered foci of T2 hyperintensity in the subcortical and periventricular white matter. The brainstem and cerebellum appear unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.MRA BRAIN: There is no evidence of significant steno-occlusive lesions or aneurysms.
1. No evidence of acute infarction. A few scattered foci of T2 hyperintensity in the subcortical and periventricular white matter are nonspecific, but may represent chronic small vessel ischemic disease. 2. No evidence of significant cerebral artery steno-occlusive lesions.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.