52-year-old with history of T8 with Patchy areas of periventricular hypodensity are present in the subcortical white matter, right side greater than left. Findings are consistent with small vessel ischemic disease These are present on the prior study and do not appear significantly changed.If there is clinical concern for acute ischemic changes MRI with diffusion weighted imaging would allow more sensitive evaluation.
Small vessel ischemic disease without significant change from prior.