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The MRI sequences demonstrate:
- bilateral and extensive dural thickening with enhancement over the cerebral hemispheres and the posterior fossa with small size of the ventricular system and subarachnoid space (disproportional to the patient's age) in keeping with intracranial hypotension
- extensive white matter FLAIR and T2 hyperintensity is noted throughout both cerebral hemispheres and brainstem suggestive of chronic small vessel ischaemia, particularly in a patient with hypertension. Pituitary prominent considering the age group. On GE sequence, no punctate areas of blooming artifact to suggest microhaemorrhages of cerebral amyloid angiopathy or hypertension
- small areas of acute infarct with restricted diffusion in the left cerebellum, splenium, left centrum semiovale and frontal precentral region