 There is no acute infarct, mass effect, or cerebral edema. There is stable mild to moderate periventricular and scattered subcortical white matter T2 signal abnormality which is nonspecific, but likely representing chronic microvascular ischemic changes. The ventricles, sulci and basal cisterns are prominent consistent with moderate global volume loss. There is no hydrocephalus or extra-axial collections. No midline shift or herniation is present. The imaged paranasal sinuses and mastoid air cells are clear. Changes of intraocular lens replacement are again noted. The skull and extracranial soft tissues are unremarkable.
1. No acute infarct or mass effect. 2. Unchanged moderate global parenchymal volume loss.3. Unchanged mild to moderate chronic microvascular ischemic changes.