Female, 63 years old, with worsening dysarthria and left-sided weakness. A band of restricted diffusion is seen within the right hemi-pons. No other areas of restricted diffusion are noted. Moderately extensive patchy periventricular T2 hyperintensity is demonstrated. No areas of significant parenchymal edema or mass effect is detected. No evidence of acute intracranial hemorrhage is seen. Scattered foci of susceptibility are noted primarily within the thalami and to a lesser degree elsewhere in the cerebral hemispheres which likely represent chronic microhemorrhage. No abnormal extra-axial collections are detected. The ventricles are normal in size and morphology.
1.Acute infarct in the right pons.2.Chronic moderately advanced small vessel ischemic disease.