Female, 78 years old, with gait imbalance. Evaluate for mass or stroke. No restricted diffusion is seen. Scattered foci of T2 hyperintensity are seen within the periventricular white matter. No edema or mass effect is observed. No acute intracranial hemorrhage or any abnormal extra-axial fluid collections are seen. The ventricles are normal in size and morphology. Incidentally noted on sagittal images is a significant degree of cervical spinal canal narrowing due to degenerative disease.
1.No acute intracranial abnormality.2.Findings are seen compatible with chronic microvascular ischemia.3.Stenosis of the cervical spinal canal is partially visualized. This abnormality can be better assessed with dedicated cervical spine imaging if clinically warranted.