Right facial droop, dysarthria. There is an area of restricted diffusion and high T2 signal in the left corona radiata that measures up to approximately 20 mm. There is no evidence of associated hemorrhage. There is a background of extensively diffuse cerebral white matter T2 hyperintensity bilaterally. There is diffuse cerebral and cerebellar volume loss. There is no midline shift or herniation. There is a right thalamus developmental venous anomaly and associated punctate cavernous malformation. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
1. Small acute infarct in the left corona radiata in a background of chronic small vessel ischemic disease. 2. Right thalamus developmental venous anomaly and associated punctate cavernous malformation.