 No diffusion restriction to suggest acute infarction. Periventricular and subcortical white matter T2/FLAIR signal abnormality consistent with chronic small vessel ischemic disease. Additionally, there is encephalomalacia with gliosis involving the anterior temporal lobes and bilateral paramedian frontal lobes including rectus gyri consistent with sequelae of remote trauma. Foci of scattered susceptibility consistent with prior remote microhemorrhages. Moderate prominence of the ventricles and sulci consistent with age-related diffuse volume loss. There are no masses, mass effect, or midline shift. There are no extraaxial fluid collections or subdural hematomas. There is no evidence of acute intracranial hemorrhage. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
1.No findings to suggest acute ischemia.2.MRI evidence for sequelae of remote brain trauma.