Dizziness and giddiness [R42] / Unspecified abnormalities of gait and mobility [R26.9] / Abnormal results of other function studies of eye [R94.118], Reason for Study: ^Reason: Evaluate Brain History: Dizziness, Abnormal VNG Focal high signal intensity on diffusion-weighted imaging at the left frontal lobe precentral gyrus which is corresponding to high signal intensity lacunar infarct lesion on the T2 weighted image, therefore this lesion is more likely T2 shine through is a of acute ischemic infarct.There are multiple scattered FLAIR/T2 high signal intensity lesions on bilateral periventricular white matter and centrum semiovale indicating nonspecific small vessel ischemic disease.There are multiple lacunar infarcts on bilateral cerebellar hemispheres.There is no evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Mucosal thickening are seen on bilateral maxillary sinus, ethmoid sinus and sphenoid sinus. Especially the right maxillary sinus shows high signal intensity on diffusion-weighted imaging indicating thick mucus accumulation.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Nonspecific small vessel ischemic disease with multifocal lacunar infarcts.3. Pansinusitis.