Female, 87 years old, with slurred speech. Image quality is degraded by motion artifact. Within this limitation, no restricted diffusion is seen. Minimal periventricular T2 hyperintensity is seen with a few scattered small foci of white matter hyperintensity. No edema or mass effect is detected. No intracranial hemorrhage or any abnormal extra axial fluid collection is observed. There appears to be mild white matter volume loss along the left lateral ventricle which contributes to ex vacuo dilatation. Otherwise, the ventricular system is within normal limits.Within the limitations of MRA technique, no significant intracranial vascular compromise is identified. No aneurysm or vascular malformation is suspected. No significant stenosis is detected in the carotid vessels of the neck by NASCET criteria. There may be mild atherosclerotic narrowing in the proximal left ICA and the proximal right vertebral artery.
1.No evidence of acute ischemia is seen. There are findings which may be related to chronic microvascular ischemia, and mild chronic white matter volume loss along the left lateral ventricle.2.Findings related to mild atherosclerotic disease are seen with no significant vascular compromise detected in the head or neck.