 The T1 postcontrast 3D images are degraded, limiting evaluation.MRI Brain: The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. There are scattered foci and minimally confluent areas of T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with chronic small vessel ischemic changes.MRA brain: The anterior and posterior circulation is intact. No evidence of aneurysm or occlusion.
1. No acute intracranial abnormality. Chronic small vessel ischemic changes.2. Intact intracranial circulation, without evidence of aneurysm or occlusion.