63 years, Male, numbness. Dizziness and giddiness. Rule out old stroke. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic disease. No evidence of a prior large vascular territory infarct. Brain parenchyma is otherwise unremarkable for age. No restricted diffusion to suggest acute infarct. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved. Sella and orbits are grossly unremarkable. There is minimal paranasal sinus mucosal thickening; sinuses are otherwise clear. Mastoid air cells are clear. Calvarium and extracranial soft tissues are grossly unremarkable.
1. Mild chronic small vessel ischemic disease. No findings to suggest a prior large vascular territory infarct.2. No evidence of acute infarct or intracranial mass effect.