New left sided weakness, recent seizure. There is no evidence of acute infarct. There are multiple areas of encephalomalacia involving the bilateral cerebellar hemispheres, and right occipital and parietal lobes. There is no abnormal intracranial enhancement. There is moderate scattered patchy cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a left lens implant.
Chronic infarcts in multiple vascular territories and chronic small vessel ischemic disease, but no evidence of intracranial hemorrhage, mass, or acute infarct. 