 There is no acute infarct, suspicious intracranial enhancement, mass, or cerebral edema. There are scattered periventricular and subcortical T2 hyperintensities which are nonspecific and likely representing chronic microvascular ischemic changes similar to prior exam. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
Mild chronic small vessel ischemic changes similar to prior. No acute infarct, intracranial mass, or mass effect.