79-year-old man with history of dizziness. There is no diffusion-weighted abnormality to suggest acute ischemic stroke. There are mild scattered areas of subcortical and periventricular white matter T2 signal, as well as in the right pons. There are also small areas of encephalomalacia in the left cerebellar hemisphere. There are punctate foci of susceptibility effect in the right temporal and occipital lobes. There is no intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. The major flow-voids are preserved. There is a small mucus retention cyst is in the left maxillary sinus. The paranasal sinuses and mastoid cells are otherwise clear. The bone marrow signal and extracranial soft tissues are unremarkable.
Small lacunar infarcts in the left cerebellar hemisphere and mild scattered small vessel ischemic disease, including in the right pons, but no evidence of acute infarct. Punctate foci of susceptibility effect in the right temporal and occipital lobes may be related to amyloid angiopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.