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There are marked confluent symmetrical T2 hyperintensities in bilateral periventricular and bilateral centrum semiovale with sparing of subcortical U fibers, representing chronic ischemic changes. Some small foci of blooming are noted on gradient sequence.
A small old hematoma is noted in the left thalamus.
Chronic lacunar infarcts are noted in the bilateral gangliocapsular regions.
Generalized age-related corticocerebral atrophy is seen.