Vertigo. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered foci of T2 hyperintensity in the cerebral white matter. 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 orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
No evidence of acute intracranial hemorrhage, mass, or acute infarct. Mild scattered cerebral white matter signal abnormality may represent chronic small vessel ischemic disease. 