Male, 88 years old, with left facial droop. No restricted diffusion is seen. Fairly extensive patchy periventricular FLAIR hyperintensity is again seen similar to that noted on prior MRI. No evidence of significant parenchymal edema or mass effect is detected. A small chronic infarct of the right cerebellum is unchanged. Prominence of the ventricles and sulci is unchanged and compatible with underlying volume loss. No evidence of acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. Foci of susceptibility in the pons and adjacent to the left restiform body may represent chronic microhemorrhage.
1.No evidence of acute ischemia.2.Moderately advanced chronic microvascular ischemic disease without significant interval change.