Weakness. There are patchy areas of cortical and subcortical high T2 signal in the right inferior frontal gyrus, insula, superior temporal gyrus, and inferior parietal lobule without restricted diffusion, but perhaps slight volume loss. There is a background of mild scattered cerebral white matter T2 hyperintensity. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. There is a left lens implant. There is what may represent minimal secretions in a left ethmoid sinus.
Patchy areas of cortical and subcortical high T2 signal in the right inferior frontal gyrus, insula, superior temporal gyrus, and inferior parietal lobule without restricted diffusion or definite volume loss may represent chronic infarcts, superimposed on a background of cerebral white matter chronic small vessel ischemia. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.