New onset headache and history of subjective left-sided weakness. No restricted diffusion to suggest acute ischemia. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. There are punctate foci of susceptibility including the right frontal lobe as well as the right occipital lobe compatible with chronic microhemorrhages. Few scattered foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild age-related white matter changes. Brain parenchyma appears otherwise within normal limits.No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. There is mucosal thickening involving the right maxillary sinus and mild patchy opacification of the ethmoid air cells. Bone marrow signal and extracranial soft tissues are otherwise within normal limits.
1. No evidence of acute infarct. No intracranial mass or mass effect.2. Two punctate foci of chronic microhemorrhage in the right frontal and right occipital lobe which are nonspecific. Brain parenchyma is otherwise unremarkable.3. Mucosal thickening in the right maxillary sinus with frothy secretions which may represent acute sinusitis in the appropriate clinical setting.