Female, 80 years old, with syncope. Evaluate for stroke. No restricted diffusion is seen. Patchy areas of periventricular white matter T2 hyperintensity are demonstrated, particularly along the right frontal horn and the left atrium, showing no significant interval change. Also unchanged are scattered small focal lesions in the basal ganglia compatible with chronic lacunar infarcts. Encephalomalacia and gliosis of the right occipital lobe are unchanged.No new parenchymal lesions are seen. No evidence of edema or mass effect is detected. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles and sulci are slightly prominent compatible with underlying volume loss.
1.No evidence of acute ischemia or any other acute intracranial abnormality.2.Evidence of chronic small vessel and lacunar ischemia is again seen without significant interval change. A probable chronic right occipital territorial infarct is unchanged.