 There is a small approximate 6 mm focus of enhancement in the left caudate head with associated T2 hyperintensity. There is no restricted diffusion or susceptibility abnormality.There are scattered foci of T2 hyperintensity in periventricular and subcortical white matter locations without associated mass effect, restricted diffusion, susceptibility abnormality, or enhancement. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
1.There is a small approximate 6 mm focus of enhancement in the left caudate head with associated T2 hyperintensity. There is no restricted diffusion or susceptibility abnormality. This constellation of features is most suggestive of early chronic resolving ischemia. However, a small neoplastic or inflammatory process cannot entirely be excluded. Thus, repeat brain MRI with contrast is recommended in 2-3 months to evaluate for interval change.2.Mild chronic small vessel ischemic disease.3.Results were discussed with Dr. Anderson on 5/18/2015 at approximately 2:15 PM.