MRI EXAMINATION OF THE HEAD WITH AND WITHOUT CONTRAST

MRI EXAMINATION OF THE HEAD WITH AND WITHOUT CONTRAST

INDICATION FOR STUDY:           Disequilibrium.  Patient had refused I.V. contrast, poor venous access.

FINDINGS:               Multiplanar and multisequence imaging was obtained on the 1.5 Tesla GE MRI without contrast.  There are changes consistent with an area of infarct in the right cerebellar region seen on image 8 of series 6 and also in the right occipital region seen on image 10 of series 6.  These changes appear more chronic in nature and would recommend clinical correlation.  There is no significant acute area of sulcal effacement, bleed, midline shift, or extraaxial fluid collection.  The remainder of the cerebellum, CP angles, and brainstem show no gross abnormality.  The seventh-eighth nerve complex region shows no significant abnormality.  The pituitary, optic chiasm, and corpus callosum also appear without significant abnormality.  Would recommend clinical correlation or further evaluation as necessary.

IMPRESSION:          Area of infarct in the cerebellar region on the right at the superior mid‑to‑posterior aspect.  Area of infarct in the right occipital lobe region towards the medial aspect somewhat posteriorly.  These changes appear more chronic in nature.  There is no significant acute abnormality.  Would recommend clinical correlation or further evaluation as needed and correlation with any prior studies if available.  There are no prior studies at this facility for comparison.

Thank you for the referral.

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