66 year old female with left visual field deficit per Optho. Evaluate for parietal CVA. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Scattered T2/FLAIR hyperintense foci in the subcortical and periventricular white matter which demonstrate no restricted diffusion and are nonspecific but are likely vascular in nature related to chronic small vessel ischemic disease. Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 2.There is no evidence for acute cerebral infarction.