- On the left side along the lateral ventricle an elongated about 8 cm long area of marked almost liquor-like T2/FLAIR hyperintensity is visible corresponding to a prior MCA striatocapsular area infarct (territory supplied by M1 perforator end arteries). The prior infarct is surrounded by confluous gliosis.
- Resultant ex vacuo dilation of the ipsilateral ventricular system and also marked atrophy of the left cerebral peduncle.
- In the anterior medulla an about 5 mm T2 hyperintense lesion can be discerned, possibly representing prior ischemic infarct.
- On SWI images multiple, bilateral susceptibility artifacts are visible in the basal ganglia and thalami, and also adjacent to the frontal and temporal cortex, representing prior microinfarcts.
- Dolichoectatic basilar artery.
- Subtle signal inhomogenity of the visualised distal part of the left vertebral artery, CTA recommended for further evaluation.