 There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There are patchy foci of T2 hyperintensity within the supratentorial white matter and brainstem most compatible with chronic small vessel ischemic disease. There are a few punctate foci of susceptibility effect within the supratentorial white matter, including the subcortical white matter and the thalami. 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, paranasal sinuses, and scalp soft tissues are unremarkable. There is a chronic deformity of the left medial orbital wall.
1.No evidence of acute infarct.2.Moderate supratentorial and infratentorial chronic small vessel ischemic disease.3.A few scattered chronic microhemorrhages within the subcortical white matter and deep gray nuclei.