MRI EXAMINATION OF THE HEAD WITH AND WITHOUT CONTRAST

MRI EXAMINATION OF THE HEAD WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:         Headaches.  CVA.  No prior examinations at this facility for comparison.

FINDINGS:               Multiplanar and multisequence imaging was obtained with and without contrast on the Open MRI at XXXXXXX.  There are changes consistent with white matter changes in the superior aspect on the right and left in the superior periventricular regions somewhat diffusely.  This may represent areas of ischemia.  They do appear chronic in nature and would recommend clinical correlation or correlation with prior studies.  There is no significant sulcal effacement or other significant area to suggest acute infarct, bleed, midline shift, or extraaxial fluid collection.  The cerebellum, CP angles, and brainstem show no gross abnormality.  There is slight prominence to the lateral ventricles especially with the patient’s age and would recommend clinical correlation.  This may be secondary to the patient’s history of prior ischemia.  The pituitary, optic chiasm, and corpus callosum show no gross abnormality, but there is some thinning of the corpus callosum overall and may be within normal limits and would recommend clinical correlation.  There is no significant abnormal enhancement to the brain parenchyma.

IMPRESSION:         Changes consistent with ischemia in the superior aspect of both hemispheres, which appear subcortical.  This appears chronic.  For the patient’s age, this is concerning and would recommend clinical correlation or correlation with the patient’s prior examination and prior history.  There does not appear to be significant acute area of infarct.  There is no abnormal enhancement.  Please see comments above.

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