New right pronator drift. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are are a few unchanged scattered foci of T2 hyperintensity and susceptibility effect in the cerebral white matter. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are retention cysts in the right sphenoid and left ethmoid sinuses, as well as in the nasopharynx.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. A few unchanged scattered foci of T2 hyperintensity and susceptibility effect in the cerebral white matter may represent chronic small vessel ischemic disease and chronic microhemorrhages, respectively. 