Male, 78 years old, with recent falls plus minus loss of consciousness in the setting of persistent afib on warfarin. No restricted diffusion is seen. Scattered foci of white matter and basal ganglia T2 hyperintensity are demonstrated, many of which have a cystic quality and are likely reflective of chronic lacunar infarcts. No enhancing lesions are seen.No evidence of acute intracranial hemorrhage is seen. A few scattered small foci of susceptibility are noted likely indicating chronic microhemorrhage. The ventricles are within normal limits with respect to size and morphology. Mild volume loss of the cerebellum is noted.
1.No definite evidence of any acute intracranial abnormality.2.Sequelae of chronic microvascular and lacunar ischemia are seen.