Demographics:
81 years old, Female
Indication:
Severe headache
Findings
- Multifocal subcortical white matter hypoattenuation, most pronounced in the parietal and occipital lobes as well as in the cerebellar hemispheres
- Small focus of hypoattenuation in the left thalamus
Diagnosis
Posterior reversible encephalopathy syndrome (PRES)
Sample Report
Posterior predominant white matter hypoattenuation involving the bilateral parieto-occipital regions and cerebellum in a pattern most suggestive of posterior reversible encephalopathy syndrome (PRES). Recommend brain MRI for further evaluation.
Age-indeterminate lacunar infarct versus dilated perivascular space in the left thalamus.
No acute hemorrhage, mass effect, or hydrocephalus.
Discussion