Right inferior quadrantanopia. There is encephalomalacia in the left cuneus. There are also small areas of encephalomalacia in the right pons and right globus pallidus. There are otherwise mild scattered foci of high T2 signal in the bilateral cerebral hemisphere. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. 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 left medial occipital lobe, right pons, and right basal ganglia infarcts and mild probable chronic small vessel white matter ischemic disease, but no evidence of acute infarct. 