 There are a few punctate areas of subcortical/periventricular white matter T2 hyperintensity. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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 scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
1. No evidence for intracranial metastatic disease.2. A few scattered foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease, but no evidence of acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.