AMS, ischemic CVA in 2012, and atrial fibrillation. There is encephalomalacia in the left middle frontal gyrus and periventricular region and left temporo-occipital region. There is mild ex vacuo dilatation of the left lateral ventricle. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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.
Chronic infarcts in the left middle cerebral artery watershed zones, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.