 There are scattered foci of T2 hyperintensity in subcortical and periventricular white matter without associated mass effect, strict 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. Mucosal thickening can be found throughout the paranasal sinuses without superimposed fluid levels. The mastoid air cells are clear. There is no abnormal enhancement within the brain. Incidental note is made of a subcutaneous lipoma in the left paramedian cervico-occipital region.
Mild chronic small vessel ischemic disease.