Female 73 years old Reason: r/o CVA History: hx of CVA , A.fib - a/w syncope. Multiple sequences are degraded by motion. There is however no evidence of acute infarct. There is periventricular white matter T2/FLAIR hyperintensity which is nonspecific but likely related to mild chronic small vessel ischemic disease. Extensive encephalomalacia related to chronic infarcts is present in the bilateral inferior cerebellar hemispheres. There is susceptibility associated with the infarct in the left cerebellar hemisphere reflecting hemosiderin deposition. There are additional smaller foci of encephalomalacia in the left occipital, left parietal, and left posterior frontal lobes. Unchanged mild global cerebral volume loss. There is no midline shift or herniation. No hydrocephalus. The skull is grossly unremarkable. Opacification of the right sphenoid sinus which was seen on the previous exam and mild mucosal thickening of anterior ethmoid air cells. There is borderline proptosis. There is unchanged soft tissue thickening in the suboccipital region, likely related to scarring.
1.No evidence of acute intracranial hemorrhage, mass, or acute infarct.2.Evidence of multiple chronic supra- and infratentorial infarcts as described above.3.Mild chronic small vessel ischemic disease.