Dysphagia for 1-2 weeks. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular white matter T2 hyperintensity. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there is a subcentimeter subcutaneous nodules in the right cheek, which may represent an inclusion cyst. There is a right lens implant.
Mild probable chronic small vessel ischemic white matter disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.