On MR, white matter hyperintensities (WMH) and lacunes - both of which are frequently observed in the elderly - are generally viewed as evidence of small vessel disease.
The Fazekas-scale provides an overall impression of the presence of WMH in the entire brain.
It is best scored on transverse FLAIR or T2-weighted images.
|1||Caps or thin line|
|3||Extension into the white matter|
|White matter lesions|
|2||Beginning confluence of foci|
|3||Large confluent areas|