New focal right upper extremity weakness, concern for stroke 2 weeks ago. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mils scattered cerebral and pontine white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and sulci are mildly prominent diffusely due to cerebral volume loss. 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 small right maxillary sinus retention cysts and trace secretions in a right anterior ethmoid sinus.
Findings suggestive of chronic small vessel ischemic disease, but no evidence of acute infarct. 