Female, 74 years old, with right-sided weakness and dysarthria. Patchy periventricular T2 hyperintensity is again seen without significant interval change since the prior examination. No evidence of parenchymal edema or mass effect is seen. No restricted diffusion is detected.There is no evidence of any acute intracranial hemorrhage or abnormal extra-axial fluid collection. A vaguely serpiginous, hemosiderin stained lesion with surrounding T2 hyperintensity in the medial left temporal lobe is unchanged from prior examinations and dates back at least to 2005.Volume loss of the cerebellum, out of proportion to the cerebral hemispheres, is also a stable finding. The ventricular system is within normal limits.
1.No evidence of acute ischemia or any other acute intracranial abnormality.2.Chronic small vessel ischemic disease.3.Stable lesion within the medial left temporal lobe which may represent a vascular malformation.4.Stable cerebellar atrophy.