Right leg weakness for months. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild diffuse patchy cerebral white matter T2 hyperintensity and a more focal areas of T2 hyperintensity in the right basal ganglia and pons. There are multiple scattered foci of supratentorial and infratentorial susceptibility effect. There is diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is partially imaged multilevel degenerative spondylosis of the cervical spine.
Findings suggestive of chronic small vessel ischemic disease, scattered chronic microhemorrhages, and chronic right lacunar infarcts in the right basal ganglia and pons, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.