Male, 92 years old, with altered mental status, aphasia. No evidence of restricted diffusion is seen. Moderate periventricular FLAIR hyperintensity is noted without edema or mass effect. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles and sulci are moderately and proportionately prominent compatible with parenchymal volume loss. Moderate pannus formation is seen at the odontoid without impingement of the brainstem. Mucosal thickening and frothy secretions are evident in the right maxillary sinus.
1.No evidence of acute ischemia.2.Findings compatible with chronic microvascular ischemic disease.3.Possible right maxillary sinus mucosal inflammation.