 There is no diffusion abnormality to suspect acute stroke. There is a small area of encephalomalacia in the posterior right cingulate gyrus with punctate foci of susceptibility artifact, perhaps related to prior ischemia or trauma. There are bilateral, scattered areas of subcortical white matter T2 signal hyperintensity. The ventricles and sulci are normal in size and configuration. Parenchymal volume appears normal. There are no abnormal foci of enhancement. The major intracranial vascular structures enhance normally. There is no midline shift or mass effect.
1.Moderate scattered white matter signal abnormality suggestive of small vessel ischemic disease.2.No evidence of acute ischemic infarct, hemorrhage, mass, or degenerative process.