44 years, Male, facial droop and slurred speech.. Examination is motion degraded. No restricted diffusion is seen to suggest acute ischemia is definitively appreciated. Subtle punctate focus of diffusion hyperintensity in the right anterior aspect of the pons is favored to be artifactual. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved with tortuosity of the cavernous internal carotid arteries noted.There is mild global parenchymal volume loss which is advanced for age. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild to moderate chronic small vessel ischemic changes. Bone marrow signal and extracranial soft tissues are grossly unremarkable.
1. Motion degraded study without definite evidence of acute infarct, hemorrhage or intracranial mass effect. Subtle focus of diffusion hyperintensity in the right anterior aspect of the pons is favored to be artifactual. 2. Patchy foci of T2/FLAIR signal abnormality in the white matter are nonspecific but compatible with mild to moderate chronic small vessel ischemic disease, which is advanced for age. There is also mild global parenchymal volume loss which is advanced for age.