 This exam is degraded by motion artifact. There is no evidence of mass or acute infarct. There are multiple patchy foci of T2 hyperintensity within the periventricular and infratentorial white matter with some involvement of the corpus callosum. Many of these lesions demonstrate T1 hypointensity. There is also mild global volume loss greater than expected for the patient's stated age.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 and scalp soft tissues are unremarkable. There is disconjugate gaze and minimal paranasal sinus mucosal thickening. There is mild fluid within the mastoid air cells bilaterally.
Multiple nonspecific supratentorial and infratentorial white matter lesions and mild global volume loss may represent demyelinating process especially given callosal involvement or advanced chronic small vessel ischemic disease. Please correlate clinically.