Evaluate for ischemia, etiology of seizures: right sided weakness. The images are markedly degraded by patient motion. There appears to be a punctate focus of restricted diffusion in the left pons. There is moderate cerebral white matter T2 hyperintensity, particularly in a periventricular distribution. There is mild diffuse cerebral white matter T2 hyperintensity. There is high T2 signal in the left maxillary sinus, infundibulum, and anterior ethmoid sinuses, which may represent secretions.
1. Apparent recent infarct in the left pons versus artifact superimposed upon probable chronic small vessel white matter disease, although the images are degraded by patient motion and the full exam was not completed.2. Left osteomeatal unit complex sinus disease, which is otherwise incompletely characterized. 