Female, 56 years old, with recent history of worsening mental status, impulsivity, poor concentration and headaches. No evidence of restricted diffusion is seen. There are numerous scattered foci of T2 hyperintensity in the cerebral white matter. No edema or mass effect is detected. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collections are seen. Ventricular size and morphology are within normal limits. The volume of the brain is within normal limits. Marrow signal characteristics are unremarkable.
1.No acute abnormalities or other specific findings which would account for the patient's symptoms.2.Multiple scattered foci of signal abnormally are seen, a nonspecific finding which statistically most likely represents chronic small vessel ischemic disease. However, the differential would include sequelae of migraine headache, demyelination and vasculitis among other possibilities.