73-year-old male with mental status. Evaluation for cerebral infarction. Extremely limited exam due to patient motion. Area of susceptibility effect corresponding to hyperattenuation in the left inferior parietal lobule seen on CT is compatible with blood product. Additional focus of susceptibility in the left superior cerebellum and several scattered foci in the inferior cerebellum, likely representing chronic blood product.Prominence of the ventricles and sulci compatible with diffuse parenchymal volume loss. The basal cisterns remain patent. There is no definitive parenchymal edema. There is no midline shift or mass effect. There is no diffusion abnormality. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. Extensive patchy periventricular FLAIR hyperintensity without restricted diffusion compatible with chronic small vessel ischemic disease. Left frontal scalp lipoma.
1.The hyperattenuating area of concern on prior CT demonstrates susceptibility effect on MR compatible with trace acute blood product.2.Several additional scattered small foci of susceptibility likely representing chronic blood product.3.Advanced chronic small vessel ischemic disease.