There is prominence of the ventricular system as well as sulci consistent with generalized atrophy. Axial FLAIR as well as T2 weighted images demonstrates small subtle regions of increased signal involving the periventricular white matter with superior extension into the centrum semiovale as well as subcortical white matter. Findings felt to be consistent with chronic microischemic white matter change. Diffusion weighted images demonstrate no evidence of an acute ischemic event.