 There are multiple nonspecific confluent and scattered foci of T2/FLAIR hypointensities in the subcortical and periventricular white matter, and in the pons, and most likely represent a chronic small vessel ischemic disease. There is no diffusion restriction. There is round susceptibility signal in the posterior aspect of the left external capsule representing mineralization versus old blood products. There is no abnormal enhancement. Ventricular size is normal with no midline shift. There is no acute hemorrhage. There is no mass effect. Vascular structures are unremarkable.
1. There is no evidence of acute intracranial hemorrhage, acute infarction, or mass effect.2. Nonspecific T2/FLAIR hyperintensities in the subcortical and periventricular white matter, most likely representing chronic small vessel ischemic disease.