Patient: Siskos, Konstantinos - 70551 (DOS: 11/23/2015)

GRESSIVE
DtOLOGY
Exceptioraf Service + Every Time
OLNEY MRI CENTER
3300 Olney-Sandy Spring Rd
Olney, MD 20832

p: 301-260-2971

Patient:

Siskos,

DOB:
si an:

01/04/1944

a ie

MRI Brain Without

Konstantinos

Nikhar, M.D.

Nirjal

Phone:

f: 301-260-7971

MRN:
Accession:

386347
881972

Exam Date:

11/23/2015

240-793-7062
Contrast

HISTORY: Chronic subdural

hematoma

and dementia.

TECHNIQUE: MRI examination of the brain was performed using spin-echo sequences with Tl
and T2 weighting to generate multiple direct sagittal, coronal, and axial images.
COMPARISON: MRI the brain without

contrast

dated February 11, 2015.

FINDINGS:
General: There is a moderate to severe generalized brain volume loss with proportional
ventricular enlargement. There is confluent and multiple scattered foci of high FLAIR and T2
signal intensity in the cerebral white matter compatible with moderate small vessel ischemic
disease. There is a stable old left parietal occipital infarct with blood products seen on
susceptibility-weighted
sequences. There is ex vacuo dilatation of the atrium the left lateral
ventricle. There is a stable lacunar infarct in the left thalamus. This is a stable lacunar infarct
anteriorly in the right thalamus.
Gray-white

matter:

Craniocervical
Cerebellum

The gray-white

junction

matter differentiation

region: The craniocervical

and brainstem:

The cerebellum

Pituitary gland: The pituitary

Ventricles: The ventricles
no midline shifts.

junction

and brainstem

is normal.
region is normal in appearance.
are unremarkable.

gland is normal in position, size, contour] and signal intensity.

are normal in position, size, contour, and signal intensity.

Arteries and veins: The signal voids from the major intracranial
major intracranial veins are normal in appearance.

There are

arteries and the areas of the

Diffusion and susceptibility-weighted

portions of the exam: There is no restricted diffusion.
There is low signal intensity in the left parietal occipital infarct on the susceptibility weighted
images.
Paranasal sinuses and mastoids: There is mild to moderate mucosal thickening in the right
maxillary sinus, minimal mucosal thickening in the left maxillary sinus, mild mucosal thickening
ethmoid sinuses! and minimal mucosal Thickening of frontal sinuses compatible with chronic

11/23/2015

3:17PM (GMT-05:00)

-.

Patient: Siskos. Konstantinos - 70551 (DOS: 11/23/2015)

inflammatory disease.
There is slight opacification the mastoids.
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1. When compared to the prior study dated January 11, 2015, there has been no significant
interval change.

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=.""","'''''''=.,-=,=.,--=-::-.=.,,-, ..,.-_.._-------_.

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2. There is a stable old hemorrhagic infarct in the left parieEall)Cci-pita.L.r:egjQJJ..!.

.

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3. Bilatera I stable tha lamic lacunar infarcts.

4. Moderate small vessel ischemic disease in the,cerebral white matter.
5. Moderate to severe generalized brain volume loss

Thank you for the opportunity to participate in the care of your patient.Please contact us if
we can be of further assistance.
Abbott Huang, M.D.
Progressive Radiology
Electronically signed by: Abbott Huang, M.D. on 11/23/2015 2:53 PM EST
Chart: ]689
ReadinQ Doctor: j.l.bbott Huang, f\1.D.
R2f~jrra t f<.~K: 1.~v-l/9 -z iii

11/23/2015

3:17PM (GMT-05:00)