 There is no acute infarct, mass effect, or cerebral edema. There is encephalomalacia in the medial inferior right cerebellar hemisphere. There is mild periventricular and subcortical white matter T2 hyperintensity which is nonspecific, likely representing chronic microvascular ischemic changes. There are chronic lacunar infarcts in the left caudate and along the basal ganglia bilaterally. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a mucus retention cyst or polyp in the left maxillary sinus. The skull and extracranial soft tissues are unremarkable.
Mild chronic microvascular ischemic changes and scattered chronic lacunar infarcts and old right inferior cerebellar hemispheric infarct. No acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.