Syncopal event at home, mild droop of the right face. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is diffuse cerebral white matter T2 hyperintensity. There are small areas of encephalomalacia in the right cerebellar hemisphere, right thalamus, and right caudate head. 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 orbits, skull, paranasal sinuses, and mastoid air cells are grossly unremarkable. There is a small right frontal scalp hematoma.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Diffuse cerebral white matter T2 hyperintensity may represent chronic small vessel ischemia. 3. Small right cerebellar hemisphere, right thalamus, and caudate nucleus chronic infarcts.