Syncope. Suspicion of seizure. There is a punctate focus of susceptibility effect in the subcortical right superior frontal gyrus is not associated with edema. Otherwise, there is moderate T2 signal involving the frontoparietal white-matter. There are also small linear foci of encephalomalacia in the cerebellar hemispheres. There is no intracranial mass or acute infarct. There is no abnormal intracranial enhancement. There is no midline shift or herniation. There is mild diffuse cerebral volume loss and a partially empty sella. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The eye lenses are replaced bilaterally. There is degenerative spondylosis in the upper cervical spine, with mild indentation of the spinal cord by a C4-5 disc-osteophyte complex.
1.No evidence of acute intracranial hemorrhage, mass, or acute infarct. 2.Non-specific diffuse patchy cerebral white matter may represent small vessel ischemic disease.3.Small chronic cerebellar infarcts.4.Chronic focus of microhemorrhage in the right frontal lobe.