History of lung cancer, evaluate for metastases No diffusion restriction is seen to suggest acute ischemia. No susceptibility weighted artifact is seen to suggest intracranial hemorrhage. T2/FLAIR hyperintense foci are seen throughout the periventricular and subcortical white matter compatible with mild chronic small vessel ischemic disease. Prominent perivascular spaces are seen within the inferior left basal ganglia. No mass lesion is seen within the brain parenchyma. No abnormal areas of enhancement are seen. The CSF spaces are appropriate for the patient's stated age with no midline shift. Normal vascular flow voids are present in the major intracranial vasculature. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Mild chronic small vessel ischemic disease without evidence of intracranial metastases.