Right facial droop, recent TIA. Evaluate for stroke. Moderate prominence of the ventricles and the sulci likely due to age-related volume loss. There is periventricular and subcortical white matter FLAIR signal abnormality likely due to chronic small vessel ischemic disease, which has progressed mildly compared to prior exam. Chronic right cerebellar infarct is unchanged. The CSF space is asymmetrically enlarged about the cerebellum, right greater than left, similar to prior exam.There is no evidence of intracranial hemorrhage, mass or edema. No abnormal extra-axial fluid collection is identified. There is no midline shift or mass effect. The midline structures and craniocervical junction are within normal limits. There is no diffusion abnormality. Bilateral maxillary sinus mucous retention cysts.Normal flow-voids are demonstrated in the major intracranial vascular structures.The paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.
Moderate small vessel ischemic disease, which has mildly progressed compared to the prior exam. No evidence of acute ischemic stroke.