 There is no restricted diffusion to suggest acute infarct. There are several scattered T2/FLAIR hyperintense foci in the subcortical and periventricular white matter, which are nonspecific but compatible with mild chronic small vessel ischemic changes. There are numerous punctate foci of susceptibility effect in the bilateral coronary radiata and centrum semiovale.The ventricular size is normal with no midline shift. The basal cisterns are patent. There are preserved vascular flow voids.There are small mucous retention cysts in the right maxillary sinus and mucosal thickening in the left maxillary sinus. Evidence of chronic left medial orbital fracture.
1. No evidence of acute infarction.2. Mild chronic small vessel ischemic disease.3. Numerous foci of susceptibility throughout the brain parenchyma consistent with chronic microhemorrhages. These while nonspecific, given the history of renal disease may be related to thrombotic microangiopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.