 There are multiple nonspecific T2/FLAIR hyperintensities in the subcortical and periventricular white matter and the centrum semiovale due to chronic small vessel ischemic changes. There is encephalomalacia seen in the right parieto-occipital lobe. There is volume loss with prominence of the ventricles and sulci. There is no midline shift. There is no evidence of hemorrhage or mass effect. There is no diffusion or susceptibility abnormalities. There is no abnormal enhancement. There is dolichoectasia of intracranial arterial system indicating atherosclerotic changes.
1. No evidence for acute intracranial hemorrhage, mass effect, or edema. 2. Periventricular and subcortical white matter chronic ischemic changes.3. Encephalomalacia in the right parieto-occipital lobe.4. Atherosclerotic changes of intracranial arterial system. 