Severe headaches and vomiting. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered patchy cerebral and pontine white matter T2 hyperintensity. There is cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants. There is a small effusion associated with the right C1-2 facet joint.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Findings suggestive of chronic small vessel ischemic disease.