Right-sided weakness and cerebellar signs. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged extensive cerebral white matter T2 hyperintensity and chronic infarcts in the pons, left gyrus rectus, and right basal ganglia. There is unchanged mild diffuse cerebral volume loss. There is no midline shift or herniation. The skull and scalp soft tissues are unremarkable. There are bilateral lens implants.
1. No evidence of intracranial hemorrhage, mass, or acute infarct.2. Unchanged extensive cerebral white matter T2 hyperintensity that likely represents chronic small vessel disease and chronic infarcts in the pons, left gyrus rectus, and right basal ganglia. 