Diplopia. Evaluate for CNS mass. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with moderately advanced chronic small vessel ischemic changes. Prominent perivascular spaces in the basal ganglia are seen compatible with etat crible. There is no evidence of abnormal enhancement. 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.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Moderately advanced chronic small vessel ischemic disease.