CHF admitted with ADHF requiring inotropes, reported recent stroke at OSH. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral volume loss. There are a few scattered, punctate foci of susceptibility effect in the cerebral white matter, which may represent chronic microhemorrhages. There is mild diffuse, primarily periventricular white matter T2 hyperintensity. There are small areas of encephalomalacia in the right inferior cerebellar hemisphere and right paracentral lobule. There is no abnormal intracranial enhancement. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is degenerative spondylosis in the imaged upper cervical spine, which is otherwise incompletely characterized.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct. 2. Probable chronic small vessel ischemic white matter disease and small chronic right cerebellar hemisphere and right paracentral lobule infarcts.3. Mild diffuse cerebral volume loss.4. Degenerative spondylosis in the imaged upper cervical spine, which is otherwise incompletely characterized.