Dizziness and facial asymmetry. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild bilateral periventricular T2 hyperintensity. There are also several punctate foci of T2 hyperintensity in the posterior corpus callosum. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. However, there is prominence of the left retrocerebellar cerebrospinal fluid. There is no midline shift or herniation. The major cerebral flow voids are intact. There is mild mucosal thickening in a small right maxillary sinus. The calvarium appears unremarkable. There is a right lens implant. There is nonspecific prominence of the adenoids.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct. 2. Several punctate foci of T2 hyperintensity in the posterior corpus callosum are nonspecific, but may represent chronic microhemorrhages. 3. Mild bilateral periventricular T2 hyperintensity is nonspecific, but may represent chronic small vessel ischemic disease. 4. Hypoplastic right maxillary sinus, which may account for facial asymmetry.