 BRAIN: There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There are a few scattered patchy foci of T2 hyperintensity within the supratentorial white matter that are most compatible with mild chronic small vessel ischemic disease. There is a single punctate focus of susceptibility effect within the left frontal white matter likely representing chronic microhemorrhage. 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 minimal paranasal sinus mucosal thickening.MRA HEAD: There is mild narrowing of the right cavernous carotid artery. The intracranial internal carotid arteries are otherwise normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm.
1.No evidence of acute infarct.2.Mild chronic small vessel ischemic disease.3.No significant steno-occlusive lesion within the head.