 There is no no abnormal enhancement, acute infarct, mass effect, or cerebral edema. There are moderate periventricular and subcortical white matter T2 hyperintensities which are nonspecific, likely representing chronic small vessel ischemic changes with involvement of the central pons. There is age related sulcal prominence. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
No intracranial metastases. Moderate chronic small vessel ischemic changes.