51-year-old male with chronic tinnitus and dizziness. Evaluate ventricular size. There is no restricted diffusion or abnormal enhancement. Scattered T2/FLAIR hyperintense nonenhancing foci within the subcortical and periventricular white matter unchanged. Diffuse cerebral volume loss and prominence of the ventricles unchanged from prior study. No midline shift or herniation.The internal auditory canals are symmetric with no abnormal lesions or enhancement.
1. No interval change in age appropriate minimal to mild diffuse cerebral volume loss and prominence of the ventricles. The cerebellopontine angles and internal auditory canals are unremarkable.2. Unchanged T2/hyperintense nonenhancing foci of the white matter likely small vessel ischemic disease.