 This exam is degraded by motion artifact and inability to complete the exam. No susceptibility weighted imaging was performed. There is no evidence of acute infarct. There are patchy foci of T2 hyperintensity throughout the supratentorial and infratentorial white matter that are most compatible with chronic small vessel ischemic disease. There are additional small chronic lacunar infarcts of the brainstem and cerebellum. There is mild global volume loss. 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. There is mild vermian hypoplasia. There is a chronic deformity of the right medial orbital wall. There is minimal paranasal sinus mucosal thickening.
1.Motion degraded and incomplete exam without susceptibility weighted imaging.2.No evidence of acute infarct.3.Supratentorial and infratentorial chronic small vessel ischemic disease and chronic lacunar infarcts.