Episodes of falls, intermittent confusion, decreased proprioception, positive Romberg. OSH CT with "old tiny lacunar infarcts in bilateral basal ganglia" images not available. Evaluate for stroke or other pathology. There is no evidence of intracranial hemorrhage. There is periventricular and white matter T2/FLAIR hyperintensity which is nonspecific but likely related to small vessel ischemic changes. However, a confluent region of FLAIR/T2 signal abnormality noted along the anterior aspect of the body of the right lateral ventricle within the corona radiata. There is no conspicuous ex vacuo dilatation of the adjacent ventricle, although there is overall smaller size of the right lateral ventricles compared to the left, a normal variant. Additional focal T2/FLAIR hyperintensity in the basal ganglia bilaterally are likely from prior lacunar strokes. There is no abnormal intracranial enhancement. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No evidence of intracranial hemorrhage or acute infarct. 2.Mild-moderate chronic small vessel ischemic changes, with greater confluence along right corona radiata3.Additional chronic lacunar infarcts along the basal ganglia.