Female 70 years old Reason: assess for ischemia History: altered mental status, h/o 2 prior CVAs. MRI is somewhat limited by patient motion.There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is periventricular and subcortical white matter T2/FLAIR hyperintensity which is nonspecific but likely related to chronic small vessel ischemic disease. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. Incidental note is made of a persistent cavum septum pellucidum. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No evidence of acute intracranial hemorrhage, mass, or acute infarct.2.Moderate chronic small vessel ischemic disease.