 There is a confluent area of encephalomalacia and gliosis in the right paramedian parietal lobe, cingulate gyrus, medial temporal lobe, and occipital lobe. There is associated ex vacuo dilatation of the right lateral ventricle. There are also small areas of encephalomalacia in the left basal ganglia and corona radiata with ex vacuo dilatation of the frontal horn. There is a background of scattered cerebral white matter T2 hyperintensity. There is no evidence of acute ischemia. There are no masses, mass effect or midline shift. The skull, paranasal sinuses, and mastoid air cells are unremarkable. There is mild staphylomatous deformity of the bilateral globes.
Large chronic infarction in the right posterior cerebral artery territory and chronic lacunar infarctions in the left basal ganglia and corona radiata, superimposed on a background of scattered cerebral white matter chronic small vessel ischemic disease, but no evidence of acute ischemia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.