MRI
Left lateral pontine and adjacent left middle cerebellar peduncle large patchy lesion of abnormal signal and diffusion characteristics, that elicits hypointensity in T1, hyperintensity in T2 & FLAIR, and markedly restricted in the diffusion eliciting low signal in ADC and high signal in DWI consistent with acute infarction.
Other multifocal infarcts are seen involving bilateral superior cerebellar hemispheres, pons and left medial thalamus eliciting almost similar signal alteration however with variable diffusion criteria, some are acute similar to the left lateral pontine lesion and others are subacute or chronic with less evident ADC hypointensity and DWI hyperintensity.
Bilateral cerebral white matter signal changes related to chronic small vessel disease.