 There are scattered foci of T2 hyperintensity within periventricular and subcortical white matter without mass effect or restricted diffusion. There are also 7-8 scattered foci of susceptibility hypointensity which do not reside in locations of T2 hyperintensity. The ventricles and sulci are unremarkable. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Fluid is present within left mastoid air cells. The paranasal sinuses and right mastoid air cells are clear. There is no abnormal enhancement within the brain. Note is made of cervical spondylosis involving the upper cervical spine with probable mild central stenosis at C4/5 and C5/6.
1.There are scattered foci of T2 hyperintensity within periventricular and subcortical white matter without mass effect or restricted diffusion most likely representing chronic small vessel ischemic disease. 2.There are also 7-8 scattered foci of susceptibility hypointensity which do not reside in locations of T2 hyperintensity and thus most likely represent remote microhemorrhages of uncertain etiology.3.Fluid is present within left mastoid air cells.4.Note is made of cervical spondylosis involving the upper cervical spine with probable mild central stenosis at C4/5 and C5/6. If the patient has symptoms referable to the cervical spine, an MRI could further characterize these stenoses, if deemed clinically beneficial.