Evaluate for ischemic infarcts or small brain metastases: syncope, memory loss, and breast cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are unchanged mild scattered foci of cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. 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 orbits, skull, and paranasal sinuses are grossly unremarkable. There is minimal residual left frontal scalp hematoma.
1. Mild probable chronic small vessel ischemic disease, but no evidence of acute cerebral infarction.2. No evidence of intracranial metastases.