Female, 61 years old, founded nursing home acutely slumped over bleeding technician, history of stroke with residual weakness of legs, wheelchair-bound. No evidence of restricted diffusion is seen. Patchy periventricular T2 hyperintensity is evident, a nonspecific finding which likely represents chronic small vessel ischemic disease. No intracranial hemorrhage or abnormal extra-axial fluid collections are seen. There is no evidence of parenchymal edema or mass effect. The ventricular system is normal in size and morphology. No pathologic parenchymal or extra-axial enhancement is seen.
1. No evidence of acute ischemia or other definite acute intracranial abnormality.2. Chronic small vessel ischemic disease.