Acute expressive aphasia. There is scattered cerebral white mater T2 hyperintensity. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are prominent extra-axial CSF spaces, particularly in the left parietal convexity with mild flattening of the underlying parenchyma. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The paranasal sinuses are grossly unremarkable. There are bilateral lens implants. There is a right frontal calvarium osteoma.
1. Mild to moderate chronic small vessel ischemic disease, but no evidence of acute infaraction.2. Prominent extra-axial CSF spaces, particularly in the left parietal convexity may represent hygroma, but no evidence of acute intracranial hemorrhage.