Female, 61 years old, with aneurysms. Chronic infarcts of the left parietal and occipital lobes are seen appearing similar to prior. Also noted is extensive patchy periventricular and subcortical T2 hyperintensity. No restricted diffusion is detected. No evidence of parenchymal edema or mass effect is noted. Two or three scattered small foci of susceptibility are seen, similar to prior and compatible with chronic microhemorrhage. No acute intracranial hemorrhage is seen. The ventricles are stable and normal in size. No abnormal extra-axial fluid collections are detected. Multiple known intracranial aneurysms are not well visualized on this study.
1.No acute intracranial abnormality.2.Chronic ischemic lesions of the left parietal and occipital lobes.3.Moderate chronic microvascular ischemic disease.