Female, 88 years old, with altered mental status and seizure, nonfocal exam. No restricted diffusion is seen. Moderately extensive confluent periventricular T2 hyperintensity is noted without mass effect. There is no evidence of parenchymal edema. No acute intracranial hemorrhage or abnormal extra-axial fluid collections are detected. The ventricles and sulci are prominent compatible with underlying volume loss. A focus of susceptibility is seen in the right pons indicating chronic microhemorrhage. On postcontrast images, no pathologic parenchymal or extra-axial enhancement is detected. Focal thickening of the right parietal bone is noted likely indicating a benign osteoma. The osseous structures are otherwise unremarkable.
1.Moderately advanced chronic small vessel ischemic disease.2.Global parenchymal volume loss.3.No evidence of acute ischemia or any other definite acute intracranial abnormality.