hello please decode ref: 64 year old male, ct scan, bilateral periventricular and deep white matter small vessel ischaemic changes are noted. no evidence of acute intercranial haemorrage,extra-axial collection or a space occuying lesion. No mass- effector midline shift. A small established infarct is seen in the region of the right superior temporal lobe. Normal sinuses,mastoids, sella and orbits. Thank you.