60 years, Female, with headache and questionable right hemianopsia. Multiple series are degraded by motion, as on prior examination.No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are stable in size with mild diffuse parenchymal atrophy. There is no evidence of hydrocephalus.Multiple foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with moderate chronic small vessel ischemic changes. No significant change since 3/5/2012. Major flow-voids are preserved.There is no obvious orbital mass or mass effect on the optic chiasm. The sella is partially empty, which can be a normal variant. The orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. Motion degraded examination demonstrates no evidence of intracranial hemorrhage, mass or acute infarct.2. Grossly similar appearance of moderate chronic small vessel ischemic disease, within the limits of motion degradation.