Male, 60 years old, with decreased alertness, not following commands, appears encephalopathic. Image quality is significantly reduced by motion artifact. Given this limitation, no strict diffusion is seen. Periventricular T2 hyperintensity is unchanged. Susceptibility effect and volume loss of the right basal ganglia are unchanged. No areas of edema or mass effect are seen. No large acute intracranial hemorrhage or abnormal extra axial fluid collection is observed. The ventricles and sulci are prominent compatible with parenchymal volume loss, but the ventricular system is stable in size and morphology.
Again, the examination is motion degraded, but despite this limitation, no significant interval change is seen when compared to the prior study. Findings are noted suggestive of chronic ischemic injury to the right basal ganglia and chronic microvascular ischemic disease.