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There is cortical thining in paramidline in both occipital lobes and right parietal lobe, with underlying subcortical white matter hyperintensity in both T2W and FLAIR sequences, shine through DW/ADC, denoting focal gliosis and atrophy.
Paramidline focal gyrial thining and atrophy with subcortical white matter gliosis, giving mushroom-like shaped cortex. This is also known as ulegyria, and is suggestive of chronic ischemic insult.