Altered mental status. There is no evidence of acute intracranial hemorrhage, mass effect, or acute infarct. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter as well as the pons, consistent with moderate chronic small vessel ischemic changes. There are scattered foci of susceptibility artifact within the left basal ganglia and bilateral thalami. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1.No evidence of acute intracranial hemorrhage, mass effect, or acute infarct. 2.Moderate chronic small vessel ischemic changes.3.Multiple foci of chronic microhemorrhage particularly involving the basal ganglia and thalami, which can be seen with chronic hypertension.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.