 MRI Brain:Examination is motion degraded. There is however no evidence of acute infarct, mass, or mass effect. There is moderate degree of periventricular and subcortical white matter T2/FLAIR hyperintensity, which is nonspecific but likely related to chronic small vessel ischemic disease, similar to prior. There is moderate degree of global parenchymal volume loss. Chronic lacunar infarct involving the right cerebellum again seen. No hydrocephalus. No extra-axial collections. There is no midline shift or herniation. The major cerebral flow voids are intact. Bone marrow signal and extra cranial soft tissues are grossly unremarkable.MRA Brain: The intracranial internal carotid arteries demonstrate no significant stenosis. The middle and anterior cerebral arteries are also patent. The vertebral arteries, basilar artery, and posterior cerebral arteries also are patent with no significant stenosis. No evidence of aneurysms within the limits of motion degradation.
1. No evidence of acute infarct, edema, or intracranial mass effect. 2. Mild to moderate chronic small vessel ischemic disease which appears similar to prior study.3. No significant stenosis in the intracranial vasculature.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.