Abnormality of gait. Evaluate for subacute stroke based on CT findings. There are scattered foci of diffusion restriction in the right frontal centrum semiovale, bilateral frontoparietal regions, and right precuneus. There is no evidence of acute intracranial hemorrhage or mass effect. There is mild global parenchymal volume loss. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with moderate chronic small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There are multiple scattered foci of susceptibility artifact in the supra- and infratentorial compartments, consistent with hemosiderin deposition from chronic microhemorrhages. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There is partial opacification of a right posterior ethmoid sinus.
1. Scattered foci of restriction diffusion, consistent with recent small vessel infarcts.2. Multiple scattered foci of susceptibility artifact in the supra- and infratentorial compartments, consistent with hemosiderin deposition most likely from chronic microhemorrhages. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.