47-year-old male with left-sided weakness, evaluate for stroke There is no restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. Mild gliosis and subtle volume loss in the right anterior temporal lobe is unchanged. There is also global parenchymal volume loss, which is stable. No hydrocephalus. Major flow-voids are preserved. Note is made of a partially to sella. Paranasal sinuses and mastoid cells are clear.
1.No evidence of acute infarct.2.Stable mild chronic small vessel ischemic changes.3.Stable global parenchymal volume loss, which is advanced for age, similar to prior. 4.Stable mild right anterior temporal encephalomalacia is also unchanged, which may be related to remote trauma or other injury.