 Brain MRI:There are scattered foci of T2 hyperintensity within the periventricular and subcortical white matter without restricted diffusion or susceptibility abnormality. There is a small focus of susceptibility hypointensity involving the right caudate head consistent with a chronic microhemorrhage. Incidental note is made of a 7 mm T2 hypointense, susceptibility hypointensity lesion along the dura overlying the right parietal lobe, consistent with an incidental tiny meningioma without mass effect upon the underlying brain. 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. The paranasal sinuses and mastoid air cells are clear. Brain MRA: There is antegrade flow within the distal bilateral vertebral arteries, within the basilar artery, distal bilateral internal carotid arteries and carotid siphons and bilateral anterior, middle and posterior cerebral arteries. No arterial stenoses, occlusions or aneurysms are identified. No arteriovenous malformations are identified and there is no evidence for cerebral vasculitis. Neck MRA:There is conventional takeoff of the great vessels from the aortic arch without evidence for stenosis of the origin of the great vessels or of the bilateral vertebral arteries which are codominant. There are no stenoses of the bilateral common, internal or external carotid arteries or of the bilateral carotid bifurcations. There is no evidence for vasculitis, fibromuscular dysplasia or dissection of the carotid or vertebral arterial systems within the neck. There are no vascular masses identified.
1.Mild chronic small vessel ischemic disease.2.There is a small focus of susceptibility hypointensity involving the right caudate head consistent with a chronic microhemorrhage.3.Incidental note is made of a 7 mm T2 hypointense, susceptibility hypointensity lesion along the dura overlying the right parietal lobe, consistent with an incidental tiny meningioma without mass effect upon the underlying brain.4.Negative MRA of the brain.5.Negative MRA of the neck.