Left hemiparesis.. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are few punctate T2/FLAIR-hyperintense foci in the frontal white-matter without associated diffusion restriction or susceptibility effect. The brain parenchyma and pituitary gland appear unremarkable, otherwise. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is very minimal mucosal thickening in the maxillary and ethmoid sinuses without fluid. The other paranasal sinuses are clear. The orbits, skull and scalp soft tissues are grossly unremarkable.
No evidence of acute intracranial hemorrhage, mass, or acute infarct. Few punctate frontal white-matter lesions are very nonspecific but may reflect minimal microvascular ischemia.