 There is no evidence of mass or acute infarct. There are multiple patchy foci of T2 hyperintensity within the supratentorial white matter, thalami, and basal ganglia. There are a few punctate foci of susceptibility effect within the supratentorial and infratentorial white matter compatible with chronic micro hemorrhages. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are unremarkable. There is mild polypoid mucosal thickening within the left maxillary sinus.
1. No evidence of mass or acute infarct. 2. Moderate small vessel ischemic disease and scattered chronic micro hemorrhages that may be hypertensive in etiology.