Male 77 years old with history of stroke p/w AMS Focal area of T2/FLAIR hyperintensity within the left parietal lobe white matter corresponding to low-density on CT, suggestive of remote infarct. Chronic confluent and patchy areas of periventricular, subcortical, and brainstem T2/FLAIR white matter hyperintensities, which is suggestive of chronic small vessel ischemic changes. There is no evidence of intracranial mass. There is no restricted diffusion to suggest acute infarct or increased susceptibility to suggest hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues demonstrate no gross abnormality.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Small remote infarct located within the left parietal lobe as well as chronic small vessel ischemic changes.