Recent TIA with aphasia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild patchy cerebral white matter T2 hyperintensity, which is nonspecific, but may represent chronic small vessel ischemic disease. 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. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants.
Probable mild chronic small vessel ischemic disease, but no evidence of acute infarction, intracranial hemorrhage, or mass.