82 years, Female, suspected vascular dementia. Prior ischemia seen on CT. No restricted diffusion to suggest acute ischemia. No intracranial mass or mass-effect. There is a chronic infarct involving the right posterior frontal corona radiata extending inferiorly into the right putamen. There is ex vacuo dilatation of the right lateral ventricle. There is rim of susceptibility effect involving the infarct compatible with chronic blood products.There is moderate degree of patchy T2/FLAIR hyperintensity in the bilateral subcortical and periventricular white matter, which is nonspecific, but compatible with chronic small vessel ischemic disease. There is moderate degree of global cerebral volume loss without a particular lobar distribution. Moderate volume loss involving the cerebellar hemispheres is also noted.There is a right maxillary sinus mucus retention cyst. There is also mild left maxillary sinus opacification. Calvarium and extracranial soft tissues are grossly unremarkable.
1. Chronic infarct involving the right frontal corona radiata which extends into the putamen. There is associated susceptibility effect indicating prior hemorrhage in this region.2. Moderate chronic small vessel ischemic disease.3. No intracranial mass, mass effect or hydrocephalus.4. Moderate supra and infratentorial parenchymal volume loss.