Diplopia, dizziness, and new onset memory impairment. There is a mild to moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. There are also unchanged punctate lesions in the basal ganglia, thalami, and brainstem. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
Small vessel ischemic disease in the brain and pons, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.