Slurred speech. MRI: There is no evidence of acute intracranial hemorrhage, mass-effect, or midline shift. There is mild scattered periventricular and subcortical white matter T2 hyperintensity, but no acute infarct. There is mineralization of the bilateral basal ganglia and dentate nuclei. There is diffuse cerebral volume loss. There is opacification of a right ethmoid air cell. The skull and orbital contents are grossly unremarkable.MRA: The right vertebral artery is relatively hypoplastic diffusely and the right A1 is also hypoplastic. Otherwise, there is no evidence of significant steno-occlusive lesions in the head and neck and no evidence of cerebral aneurysms.
1. Mild chronic small vessel ischemic disease and diffuse cerebral volume loss, but no evidence of acute infarction.2. No evidence of significant steno-occlusive lesions in the head and neck and no evidence of cerebral aneurysms.