63-year-old with gait imbalance. Evaluate cerebellum. No acute ischemia. Minimal punctate periventricular and subcortical T2 hyperintensities compatible with minimal small vessel ischemic disease.There is no evidence of intracranial hemorrhage, mass or edemaThe ventricles and basal cisterns are normal in size and configuration.The expected intracranial vascular flow voids are present.The paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.
Essentially normal MRI of brain for patient age with minimal chronic small vessel ischemic changes in the cerebral white matter.