Reason: prior microhemorrhages, on warfarin. Please assess for new microhemorrhages. History: mild cognitive impairment No diffusion abnormality. No evidence of acute intracranial hemorrhage. Previously seen 3 foci of susceptibility artifacts appear similar on current study. Scattered T2 hyperintensity in the subcortical and periventricular white matter, nonspecific but compatible with chronic small vessel ischemic disease. The ventricles and sulci are normal in size. 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 stable prominence of the left retrocerebellar CSF space.
1. No acute intracranial hemorrhage or ischemia. 2. Stable appearing scattered susceptibility artifact, presumably related to chronic microhemorrhage.3. Stable appearing small vessel ischemic disease.