57-year-old female with history of headache and speech disturbance. Evaluate for CVA. There are no areas of restricted diffusion to suggest an acute infarction. There are minimal scattered foci of T2/flair hyperintensity within the periventricular and subcortical white matter which are nonspecific findings. The basal cisterns are intact. The ventricles and sulci are normal and symmetric. There are no intra-or extra-axial fluid collections. Normal flow voids are appreciated within the cerebral vasculature. The calvarium and soft tissues of the scalp are unremarkable.
1. No evidence of CVA as clinically queried.2. Mild nonspecific scattered foci of T2/flair hyperintensity within the periventricular and subcortical white matter most likely compatible with chronic small vessel ischemic disease.