Increasing gait abnormality. There is no acute infarct or intracranial hemorrhage. There is confluent periventricular and patchy deep and subcortical T2-hyperintensity in the cerebral white-matter, predominantly frontoparietal. A few punctate T2-hyperintense foci are also present in the pons. There is no mass-effect or midline shift. The ventricles and the other CSF-containing spaces are enlarged, reflective of moderate global parenchymal volume loss. There is also dilatation of the perivascular spaces. The major intracranial vascular flow voids are preserved, reflecting gross patency. There is trace mucosal thickening involving the paranasal sinuses. The mastoid air cells are clear. There is no destructive skull lesion. There has been previous left enucleation and placement of ocular prosthesis. There is no gross right orbital abnormality. A partially empty sella is incidentally noted and within normal limits for age.
1.There is no acute infarct, intracranial hemorrhage, or mass. No hydrocephalus.2.Moderate chronic small vessel ischemic disease.