 There is no convincing evidence of diffusion abnormality in the hippocampi or elsewhere in the brain. Multiple foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with chronic small vessel ischemic changes. There are scattered foci of susceptibility compatible with chronic microhemorrhages including peripherally in the left temporal and right occipital lobe, in the left parietal periventricular white matter, as well as small foci in the posterior fossa. No intracranial mass or mass effect. The ventricles and sulci are within normal limits for patient's advanced age. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.MRA HEAD
1. No diffusion abnormality in the brain to suggest acute ischemia.2. Mild chronic small vessel ischemic disease. 3. Few scattered foci of chronic microhemorrhage which are in a nonspecific distribution and may be related to amyloid angiopathy and/or hypertension.