 There is mild chronic ischemic change involving the pons bilaterally, slightly greater on the right, and when correlating with the recent scan, there is an old tiny lacunar infarct of the right brachium pontis measuring roughly 4 mm in size. 
There is mild chronic ischemic change involving the pons bilaterally , slightly greater on the right , and when correlating with the recent scan , there is an old tiny lacunar infarct of the right brachium pontis measuring roughly 4 mm in size .