 There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered punctate foci of T2 hyperintensity throughout the supratentorial white matter. There is mild global volume loss. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal 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.
Mild global volume loss and mild scattered punctate foci of white matter signal abnormality most compatible with chronic small vessel ischemic disease.