 There are scattered punctate foci of T2 hyperintensity primarily within the subcortical white matter without associated restricted diffusion, susceptibility abnormality, or enhancement. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. Bubbly secretions are noted within the left sphenoid sinus suggesting acute sinus disease. The remaining paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
1.Mild chronic small vessel ischemic disease.2.Bubbly secretions are noted within the left sphenoid sinus suggesting acute sinus disease.