Change in mental status and function. The images are degraded by patient motion. There is no evidence of intracranial hemorrhage or acute infarct. There is scattered periventricular and subcortical white matter T2 signal hyperintensity, compatible with chronic microvascular ischemic disease. More focal areas of signal abnormality in the left occipital lobe and basil ganglia suggest chronic lacunar infarcts. There is moderate global parenchymal volume loss. There is a partially empty sella. Otherwise, the ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
1. Findings compatible with chronic microvascular ischemic disease and chronic lacunar infarcts, without evidence of acute infarct or intracranial hemorrhage.2. Moderate cerebral volume loss.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.