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Confluent bright flair signal and periventricular white matter and centrum semiovale, as well as foci of similar signal in the pons, commonly reflect underlying chronic small vessel ischaemia.
The extent and severity of the disease are marked for a patient of this age. Old lacunar infarct seen in the right pons, with suspected previous microhemorrhage within it. Multiple old lacunar infarcts also were seen in basal ganglia and centrum semiovale bilaterally.
Tiny foci of diffusion restriction seen in the left parietal subcortical white matter in the representing an acute infarct.
2.5mm bulbous origin of the right ophthalmic artery. MRA unremarkable otherwise.