 There is left temporooccipital restricted diffusion with matching ADC hypointensity which is T1 hypointense centrally with gyral T1 hyperintensity, T2 hyperintensity, and enhancement.Elsewhere there are small foci of T2 hyperintensity within the white matter, splenium, and pons without restricted diffusion, susceptibility abnormality, mass effect, or enhancement.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage. Flow voids are present within the major vessels indicating patency. Scattered foci mucosal thickening is present throughout the paranasal sinuses with a superimposed air-fluid level in the right sphenoid sinus. There is also fluid in bilateral mastoid air cells.
1.Subacute left temporooccipital infarct.2.Scattered foci mucosal thickening is present throughout the paranasal sinuses with a superimposed air-fluid level in the right sphenoid sinus. There is also fluid in bilateral mastoid air cells.