 Several sequences are mildly limited by motion.ORBITS: The optic nerves are symmetric and normal in size and signal intensity. There is no intraorbital mass or abnormal enhancement. There is no chiasmatic mass or parasellar abnormality. The extraocular muscles are unremarkable.BRAIN: There is no restricted diffusion to suggest acute ischemic infarction. Punctate and confluent foci of increased T2/FLAIR signal within the supratentorial white matter are favored to represent moderate chronic small vessel ischemic changes, minimally progressed compared to 4/14/2010 examination. A few additional punctate foci of increased T2/FLAIR signal are also present within the cerebellum appearing similar to prior. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening within the left sphenoid sinus. The midline structures and craniocervical junction are within normal limits. No abnormal intraparenchymal enhancement is identified.
1.No evidence of acute ischemic infarction.2.Moderate chronic small vessel ischemic disease, minimally progressed compared to 4/14/2010.3.Orbits appear unremarkable.