There is global involutional change. There is particular midbrain atrophy with a mild concave superior margin, a deep interpeduncular cistern and a concave dorsolateral midbrain margin. There is a subtle high signal within the pontine tegmentum on T2 and Flair imaging.
There is minimal non-specific microvascular ischemic change. Giant perivascular space within the right basal ganglia.
There is normal enhancement post contrast administration.