82 years, Female, vertigo and ataxia, stroke workup. No restricted diffusion to suggest acute ischemia. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. There is mild global parenchymal volume loss, which is appropriate for age.Patchy foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild to moderate chronic small vessel ischemic disease. There are a scattered foci of susceptibility effect consistent with chronic microhemorrhages involving the right thalamus, posterior left putamen, as well as the right anterior temporal subcortical white matter. Brain parenchyma is otherwise unremarkable for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. There is mild opacification of the bilateral ethmoid air cells. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of acute infarct.2. Mild to moderate chronic small vessel ischemic disease.3. Few scattered foci of chronic microhemorrhage which may be related to chronic hypertension.