Male, 81 years old, with altered mental status. No restricted diffusion is seen. Numerous scattered foci of periventricular and cortical T2 hyperintensity are seen, becoming somewhat confluent in the periatrial regions. The quantity and distribution of these lesions appear similar to the prior MRI exam. No evidence of mass effect or edema is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is detected. No pathologic parenchymal or extra-axial enhancement is seen. The ventricles and sulci are prominent compatible with underlying volume loss, similar to prior.
1.No acute intracranial abnormality.2.Findings compatible with chronic microvascular ischemic disease without significant interval change.