75-year-old man with history of seizures. There is diffuse confluent T2 hyperintensity in the bilateral subcortical and periventricular white matter. Additionally, there is moderate diffuse cerebral volume loss. There are also prominent perivascular spaces and/or chronic lacunar infarcts in the bilateral basal ganglia and left pons. In addition, there are scattered punctate foci of susceptibility effect in the brainstem and cerebellum, as well as a larger area in the left corona radiata. There is no evidence of acute 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.
1.Findings of chronic small vessel disease and probable chronic lacunar infarcts, chronic microhemorrhages, and diffuse cerebral volume loss.2.No acute ischemia, hemorrhage, or mass.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.