 There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is focus of encephalomalacia and volume loss within the medial left occipital lobe. There are scattered punctate foci of T2 hyperintensity throughout the supratentorial white matter most compatible with chronic small vessel ischemic disease. There is a punctate focus of susceptibility effect within the deep right parietal white matter compatible with chronic micro hemorrhage. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.
1.Interval development of a PCA distribution chronic-appearing infarct within the left occipital lobe.2.Mild chronic small vessel ischemic disease and a single punctate chronic micro hemorrhage.