55-year-old female presents with altered mental status and a prior CT demonstrating cerebellar infarcts. Examination is mildly motion degraded. No restricted diffusion to suggest acute ischemia. No evidence of acute intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. 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. There is multifocal encephalomalacia in the bilateral cerebellar hemispheres likely related to prior infarcts. There are foci of susceptibility within these regions likely reflecting hemosiderin deposition. There is also a small chronic cortical infarct in the right occipital lobe. Major flow-voids are preserved. There is a partially empty sella. Remainder of the calvarium and extracranial soft tissues are grossly unremarkable
1. No evidence of acute ischemia.2. Multiple chronic bilateral cerebellar infarcts with foci of susceptibility indicating chronic hemorrhage. There is also a small chronic right occipital cortical infarct.3. Mild chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.