 There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. Scattered punctate foci of T2/FLAIR hyperintensity within the periventricular and subcortical white matter are present without associated mass effect, restricted diffusion, or enhancement, and is consistent with chronic small vessel ischemic changes. There is no abnormal enhancement within the brain. There are no extraaxial fluid collections or subdural hematomas. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
1. No evidence of acute ischemic infarction.2. Chronic small vessel ischemic changes.