69 years Male (DOB:12/26/1946)Reason: complete lung CA staging History: see abovePROVIDER/ATTENDING NAME: TODD STERN TODD STERN The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Additional T2 and FLAIR signal hyperintense lesions are present brainstem. On susceptibility weighted imaging there is a signal loss present in the medial aspect of the left thalamus. It is associated with some subtle T1 signal hyperintensity. Punctate foci of signal loss and susceptibility imaging present in the right frontal periventricular white matter as well as right centrum semiovale.A small focus of encephalomalacia is present in the right lingual gyrusNormal 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 right eye lens is thin
1.Periventricular and subcortical white matter lesions as well as lesions in the brainstem of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. 2.There are several microhemorrhages present in the periventricular white matter as well as the left thalamus. These are nonspecific.3.There is no evidence for brain metastases.4.A small focus of encephalomalacia in the right lingual gyrus is likely a result of prior injury such as infarction