50 years, Female, slurred speech. Examination is mildly motion degraded. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but may represent mild chronic small vessel ischemic disease. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Minimal scattered paranasal sinus opacification. Diffuse calvarial thickening is noted which may relate to chronic renal disease.
1. No evidence of acute infarct, hemorrhage, or mass effect.2. Scattered nonspecific foci of white matter signal abnormality which may relate to mild chronic small vessel ischemic disease. 