 Motion artifact degrades image quality. The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2 hyperintensity within the periventricular and subcortical white matter, consistent with moderate chronic small vessel ischemic changes. There are also subcentimeter defects in the bilateral basal ganglia, which likely represent chronic lacunar infarctions. There is no evidence of acute infarction. There are multiple foci of susceptibility artifact, within the bilateral thalami, and to a lesser extent the bilateral cerebral and cerebellar hemispheres and basal ganglia, consistent with chronic microhemorrhages. There is a partially empty sella. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
Chronic basal ganglia lacunar infarcts and small vessel ischemic disease, but mo acute infarct, midline shift, or mass effect. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.