Female, 50 years old, with severe headaches. Scattered small foci of T2 hyperintensity are seen within the cerebral hemispheres and to a lesser extent the pons. A very small focus of encephalomalacia seen in the left cerebellum. No restricted diffusion is noted. No evidence of edema or mass effect is detected. No findings to suggest intracranial hemorrhage or any abnormal extra-axial fluid collection are seen. The ventricles are normal in size and morphology. A small mucous retention cyst is evident in the left maxillary sinus.
1.Findings are seen compatible with chronic microvascular ischemic disease and perhaps a small chronic infarct of the left cerebellum.2.No definite acute intracranial abnormalities.