Female, 73 years old, with proximal muscle weakness, right side more than left. No evidence of restricted diffusion is seen. Scattered periventricular foci of T2 hyperintensity are demonstrated. No edema or mass effect is detected. No pathologic intracranial enhancement is seen. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collections. The ventricles are normal in size and morphology.
1.No evidence of acute ischemia or any other definite acute intracranial abnormality.2.Findings most compatible with chronic microvascular ischemia.