 Several sequences are motion degraded. Given this caveat:There are scattered foci of T2 hyperintensity within the periventricular and subcortical white matter without associated mass effect, restricted diffusion, enhancement, or susceptibility abnormality.A 3-mm CSF intensity focus is present within the left hippocampus, as are a few similar appearing smaller foci in bilateral hippocampi. These represent unfused hippocampal sulcus remnants and have no clinical significance.The ventricles and sulci are normal in size for age. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
Chronic small vessel ischemic disease without MRI evidence of acute ischemia.