79 years, Female, chronic dysarthria, memory loss. Stroke? No restricted diffusion to suggest acute ischemia. No evidence of acute intracranial hemorrhage. No intracranial mass or mass-effect. There is global parenchymal volume loss which is appropriate for age. Multiple foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild-to-moderate chronic small vessel ischemic disease. There is susceptibility effect along the left lateral ventricle wall which may be related to chronic blood products versus mineralization. No hydrocephalus. No extra-axial collections. Calvarium and extracranial soft tissues are grossly unremarkable.
1. No evidence of acute infarct.2. Mild to moderate chronic small vessel ischemic disease. No findings to suggest a chronic large vascular distribution infarct.3. Global parenchymal loss, which appears appropriate for patient's advanced age.