Evaluate for vascular disease in stroke and dementia. MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is an areas of encephalomalacia in the right cerebellar hemisphere that measures up to 15 mm. There is moderate scattered cerebral white matter T2 hyperintensity. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is nonspecific fluid in the right mastoid air cells.MRA: There is mild basilar dolichoectasia. Otherwise, there is no evidence of significant steno-occlusive lesions or aneurysms.
1. Chronic right cerebellar hemisphere infarct and probable chronic small vessel ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Mild diffuse cerebral volume loss. 3. No evidence of significant steno-occlusive lesions