Infarct in left cerebral peduncle with focal stenosis of left PCA ambient segment (P2)

Small acute embolic infarct involving left cerebral peduncle (within perforating branch territory of left P1/ P2 segments of PCA)

No evidence of significant mass effect or mid line shift.

Age related volume loss with Fazekas grade I to II periventricular white matter chronic small vessel ischemia.