Question of cavernomas versus metstases. Mild cognitive impairment. Past medical history of an aortic dissection and thoracic aortic aneurysm s/p bioprosthetic aortic valve replacement and bladder/prostate cancer. There are multiple unchanged supratentorial and infratentorial punctate foci of susceptibility. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged 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.
Multiple unchanged supratentorial and infratentorial punctate foci of susceptibility may represent amyloid angiopathy, microemboli, cavernous malformations, treated metastases, or chronic microhemorrhages that may be related to hypertension. Otherwise, no evidence of intracranial hemorrhage, mass, or cerebral edema.