 There are foci of hypodensity in subcortical and periventricular white matter locations without mass effect or enhancement which match T2 abnormality identified by previous brain MRI. The ventricles and sulci are normal in size without evidence of obstruction or hydrocephalus. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain or evidence of metastatic disease.
1.Mild to moderate small vessel ischemic disease, which given differences in technique is unchanged compared to previous MRI.2.There is no abnormal enhancement within the brain or evidence of metastatic disease.