Brisk right arm and leg No restricted diffusion to suggest acute infarction. No evidence for acute intracranial hemorrhage or extra-axial collection. Moderate supra- and infratentorial white matter foci of T2 hyperintensity, slightly progressed from the prior exam, most compatible with chronic small vessel ischemic disease. No evidence of mass, mass effect, or midline shift. Mild prominence of the ventricles and sulci is likely related to volume loss. The pituitary gland is normal in size. No diffusion-weighted abnormalities are identified. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are grossly aerated. The orbits are within normal limits.
1.No acute intracranial abnormality. 2. Moderate chronic small vessel ischemic disease, slightly progressed from prior. 