Male, 65 years old, with hemoptysis, innumerable opacities on chest x-ray, extensive smoking history. Within the limitations of a motion degraded examination, the following observations are made.No restricted diffusion is seen. Scattered foci of white matter T2 hyperintensity are seen. The left basal ganglia is particularly affected. No evidence of edema or mass effect is detected. No pathologic parenchymal or extra-axial enhancement is observed. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricles are normal in size and morphology. Opacification of the right sphenoid sinus is demonstrated.
Within the limitations of a motion degraded examination, no definite evidence of intracranial metastatic disease, infection or any other acute abnormality is noted. Findings are seen compatible with chronic microvascular and lacunar ischemic disease.