61-year-old female patient with AML, history of previous TIA, left-sided facial droop, history of chronic some left-sided weakness. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is moderate patchy areas of periventricular and subcortical white matter abnormal T2 signal including the pons. The brain parenchyma appears otherwise unremarkable. There is no abnormal intracranial enhancement. 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. There are bilateral lens implants. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
N1. No evidence of intracranial mass or acute infarct.2. Patchy areas of periventricular and subcortical white matter signal abnormality as well as the pons, which are non-specific but likely represents moderate chronic small vessel ischemic disease. 