Gait imbalance and veering to the side. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered cerebral and pontine white matter T2 hyperintensity. However, there cerebellum is unremarkable. There is no abnormal intracranial enhancement. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The paranasal sinuses are grossly unremarkable. There are bilateral lens implants. There is a 5 mm thick right frontal scalp lipoma. There is a 9 mm wide focus of high T2 and T1 signal in the left parietal calvarium that likely represents a hemangioma.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Scattered cerebral and pontine white matter T2 hyperintensity likely represents chronic small vessel ischemic disease.3. Mld diffuse cerebral volume loss.