Clinical History
Patient-specific — populated from user input at report time. Shows "None" if not provided.
Comparison
No prior studies available for comparison.
Technique
Technique Options:
Brain without contrast (wo)
Brain with and without contrast (wwo)
Intracranial mass protocol (mass)
Intracranial mass protocol with perfusion (mass perfusion)
Brain without contrast with MRA (brain wo MRA)
Brain with and without contrast with MRA (brain wwo MRA)
Findings
Acute Change:
Options:
Stroke: "No evidence of restricted diffusion to suggest an acute infarct."
Generic: "No evidence of an acute intracranial process."
Hemorrhage:
Acute/Chronic Options:
"No evidence of prior parenchymal hemorrhage on the susceptibility weighted sequences."
"No evidence of prior parenchymal hemorrhage within the constraints of the acquisition."
Mass Lesion/Mass Effect:
No evidence of an intracranial mass, abnormal enhancement, extra-axial fluid collection, or significant localized mass effect.
Chronic Change:
Signal Options:
Normal: "The white matter is within normal limits of signal intensity for age."
Punctate: "Scattered punctate foci of increased T2 and FLAIR signal are noted in the supratentorial white matter which is a nonspecific finding, but likely represents minimal chronic microvascular ischemia."
Punctate Peds: "Scattered punctate foci of increased T2 and FLAIR signal are noted in the supratentorial white matter which is a nonspecific finding and may represent the subtle sequelae of a remote insult."
Mild: "Scattered patchy areas of increased T2 and FLAIR signal are present in the supratentorial white matter which is a nonspecific finding but likely represents mild chronic microvascular ischemia."
Moderate: "Scattered patchy and confluent areas of increased T2 and FLAIR signal are present in the supratentorial white matter which is nonspecific but likely represents chronic microvascular ischemia."
Severe: "Extensive, confluent increased T2 and FLAIR signal is present in the supratentorial white matter which is nonspecific but likely represents extensive chronic microvascular ischemia."
Parenchyma:
Volume Loss Options:
Normal: "No significant parenchymal volume loss for age."
Mild: "Mild generalized parenchymal volume loss."
Moderate: "There is moderate generalized parenchymal volume loss."
Severe: "There is severe generalized parenchymal volume loss."
Ventricles::
Options:
Normal: "Normal caliber and morphology."
Corresponding: "Commensurate with volume loss."
Ex Vacuo: "The lateral and third ventricles are enlarged but this likely relates to central volume loss."
Communicating: "Diffuse ventricular enlargement is out of proportion to the degree of parenchymal volume loss and raises question of possible communicating hydrocephalus."
Obstructive: "Enlarged lateral and third ventricles raise question of obstructive hydrocephalus."
Skull Base:
[Skull Base]: "Hypothalamic and pituitary region are grossly normal. Craniocervical junction is normal. No significant marrow replacement process."
Vasculature:
[Flow Void]: "Major intracranial arteries and dural venous sinuses demonstrate typical flow voids, suggesting patency by spin echo criteria."
Other:
Sinuses: "The paranasal sinuses and mastoid air cells are clear."
Orbits and extracranial: "The orbits and extracranial soft tissues are unremarkable."
Impression
No acute intracranial pathology