 There is no acute ischemia. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which may be nonspecific, but most consistent with moderate chronic small vessel ischemic changes. Otherwise the brain parenchyma and pituitary gland appear unremarkable. 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 mucosal thickening in the bilateral ethmoid sinuses.
1. No evidence of acute infarct or intracranial mass.2. Moderate chronic small vessel disease.