Male, 72 years old, with garbled speech. Evaluate for ischemic infarct. No restricted diffusion is seen. Extensive patchy periventricular white matter T2 hyperintensity is seen. No edema or mass effect is detected. No acute intracranial hemorrhage or any abnormal extra-axial fluid collections are seen. The ventricles are normal in size and morphology.
1.No evidence of acute ischemia.2.Sequelae of moderately extensive chronic microvascular ischemic disease.