 Mild subcortical white matter T2/FLAIR signal abnormality consistent with chronic small vessel ischemic disease. No diffusion-weighted abnormalities to suggest acute ischemia. No mass, mass-effect, or midline shift. There are no extraaxial fluid collections or subdural hematomas. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
Mild chronic small vessel ischemic disease without evidence of a mass, mass-effect, or acute ischemia.