72 years, Female, gait disorder. There are multiple patchy areas and scattered foci of T2/FLAIR hyperintensity involving the bilateral periventricular and subcortical white matter as well as the pons which are nonspecific but compatible with chronic small vessel ischemic disease. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size for age. No abnormal parenchymal or meningeal enhancement is appreciated on the axial post gadolinium sequence. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. There is minimal mucosal thickening involving the paranasal sinuses. Bone marrow signal and extracranial soft tissues are within normal limits.
1. Moderate chronic small vessel ischemic disease. No evidence of acute infarct, hemorrhage, intracranial mass effect, or hydrocephalus.2. No abnormal enhancement. Please note only single axial post gadolinium sequence was obtained. Per technologist note, patient had a contrast reaction and was transferred to the ER.