67 years Female (DOB:9/20/1948)Reason: R/O CAUSE OF COGNITIVE DECLINE History: COGNITIVE DECLINEPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The patient is status post craniotomy adjacent and above the lambdoid suture eccentric towards the right side for a mass previously centered in the region of the right precuneus. There is adjacent T2 and FLAIR signal hyperintensity at the surgical site. No contrast enhancing lesion is appreciated on the current exam. Adjacent posterior falx dural enhancement remains stable and compared to prior exams.There is redemonstration of periventricular and subcortical white matter T2 and FLAIR hyperintense lesions present which are stable when compared to the prior exams.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 demonstrate partial opacification of the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is no evidence for recurrence of the prior known meningioma. There are stable postoperative changes present.2.There is redemonstration of periventricular and subcortical white matter lesions present which are stable when compared to the prior exams. This most likely vascular related