 There is no acute infarct, mass, or mass effect. There is mild diffuse global parenchymal volume loss including mild volume loss involving the cerebellum. There are moderate periventricular and subcortical white matter T2 hyperintensities which are nonspecific, but likely representing moderate chronic microvascular ischemic changes. There is no hydrocephalus. Brain parenchyma is otherwise unremarkable. Sella and orbits are grossly unremarkable. Paranasal sinuses and mastoid air cells are clear. Major flow-voids are preserved. Calvarium is intact.
Mild age-related volume loss and moderate chronic small vessel ischemic disease. No evidence of acute infarct. No focal lesions in the cerebellum or disproportionate cerebellar atrophy as questioned.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.