Male, 71 years old, with history of carotid stenosis and stroke presenting with near syncope. Moderately extensive scattered FLAIR hyperintense lesions are seen within the periventricular and subcortical white matter of the cerebral hemispheres, and to a lesser degree within the brainstem. These findings have not significantly changed. No restricted diffusion, edema or mass effect is detected. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles are normal in size and morphology. Scattered mucosal thickening is seen in the paranasal sinuses.
1.Moderately extensive chronic small vessel and lacunar ischemic disease.2.No evidence of acute ischemia or any other definite acute intracranial abnormality.