 There is no evidence of mass or acute infarct. There are extensive supratentorial perivascular spaces and multiple patchy foci of T2 hyperintensity within the supratentorial white matter, most prominent within the periatrial white matter. There is a punctate focus of susceptibility effect within the right frontal subcortical white matter. There is mild global volume loss. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.
1.No evidence of mass or acute infarct.2.Extensive supratentorial perivascular spaces in an "etat crible" pattern with a subset of areas with associated white matter signal abnormality that may be related to the gliosis along the spaces or represent superimposed chronic small vessel ischemic disease.