ADDITIONAL CLINICAL DATA: Word finding difficulty, pseudo bulb
are affect, gait disturbance. History of hypertension.
EXAMINATION PERFORMED:
MRI brain without contrast
TECHNIQUE:
Multiplanar multisequence MRI of the brain.
CONTRAST: None.
COMPARISON: None
FINDINGS:
There are a few (approximately 10) small scattered foci of
increased T2 FLAIR signal in the cerebral white matter. The brain
parenchyma otherwise has normal signal characteristics. No
brainstem or cerebellar lesions. The ventricles are normal in
size and position. There is no evidence of acute or chronic
cortical infarct, intracranial hematoma, extraaxial fluid
collection, or mass effect. Cerebral and cerebellar parenchymal
volume approximately normal for age. There is no cerebellar
tonsillar herniation. Expected arterial flow-voids are present.
The paranasal sinuses, mastoid air cells, and middle ears are
clear. The orbital contents are within normal limits. No
significant osseous or scalp lesions are identified.
IMPRESSION:
1. Mild amount of scattered small cerebral white matter foci,
nonspecific, although possibly secondary to chronic microvascular
ischemic disease. Otherwise normal.