Female, 55 years old, with encephalopathy. Scattered foci of FLAIR hyperintensity are seen within the bilateral cerebral hemispheres. No edema, mass effect or restricted diffusion is seen. No evidence of acute intracranial hemorrhage or any abnormal extra axial fluid collection is detected. Ventricular size and morphology are within normal limits. Postcontrast imaging is degraded by motion which limits sensitivity for subtle findings. Given this caveat, no definite pathologic intracranial enhancement is observed.
1.Scattered FLAIR hyperintense lesions are seen which statistically most likely represent chronic microvascular ischemia.2.No definite acute intracranial abnormality is seen within the limitations of a motion degraded exam.