Right face and arm hypo-aesthesia. There is an area of susceptibility and encephalomalacia in the right cerebellum. Other scattered punctate foci of susceptibility are present within the inferior cerebellum, left more than right, as well as a few additional punctate foci supratentorially, especially along the basal ganglia, including the posterior limb of the left internal capsule. There are scattered foci of abnormal T2 hyperintensity in a periventricular and subcortical white matter distribution. The thalami are unremarkable, however. The ventricles and basal cisterns are symmetric, but prominent, compatible with diffuse parenchymal volume loss. There is no midline shift or mass effect. The midline structures and craniocervical junction are within normal limits. Normal flow-voids are demonstrated in the major intracranial vascular structures. The orbits are unremarkable.
1. Chronic right cerebellum infarct with associated hemosiderin deposition and scattered cerebral white matter probable chronic small vessel ischemic disease, but no evidence of acute infarction. 2. Scattered foci of susceptibility representing hemosiderin deposition within the inferior cerebellum and bilateral basal ganglia, including the posterior limb of the left internal capsule, which may represent hypertensive microhemorrhages.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.