New lung cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity in the cerebral hemispheres and pons. There is no abnormal intracranial enhancement. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. The bilateral maxillary sinuses are atelectatic with mild inferior bowing of the inferior orbital wall and contain mucosal thickening and secretions.
1. No evidence of intracranial metastases.2. Mild scattered cerebral white matter T2 hyperintensity in the cerebral hemispheres and pons is nonspecific, but likely represents chronic small vessel ischemic disease.3. Findings suggestive of bilateral silent sinus syndrome.