 There is no acute infarct, mass effect, midline shift or suspicious intracranial enhancement. There is mild to moderate diffuse volume loss. There are mild periventricular and subcortical white matter T2 signal abnormalities which are nonspecific, likely representing chronic microvascular ischemic changes. The cerebellar tonsils remain above the foramen magnum. The flow voids at the skull base are intact. There is moderate opacity at the left mastoid air cells. There are degenerative changes in the visualized upper cervical spine with a proximally 4-mm anterolisthesis of C3 on C4.
1.No acute infarct. 2.Diffuse volume loss and mild chronic microvascular ischemic changes.3.Nonspecific opacification of the left mastoids. Please correlate clinically.