 BRAIN: There is no evidence of intracranial hemorrhage or acute infarct. There is mild global volume loss and patchy regions of T2 hyperintensity within the periventricular white matter that are most compatible with mild chronic small vessel ischemic disease. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable. There are bilateral staphylomas.MRA HEAD: The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm.
1.No evidence of intracranial aneurysm.2.Mild global volume loss and mild chronic small vessel ischemic disease.3.Bilateral staphylomas.