64 years, Female, Reason: Patient with past stroke history and recent history of unexplained repeated falls History: Recent falls, loss of sensation in hands No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Several 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. Slightly prominent perivascular spaces are incidentally noted along the superior frontal gyri. Brain parenchyma is otherwise unremarkable for age.No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal is within normal limits.
1. No intracranial mass or mass effect. No hydrocephalus. No evidence of acute infarct or hemorrhage.2. Mild chronic small vessel ischemic changes.