 This exam is degraded by motion artifact. There is mildly restricted diffusion within the peri-rolandic and occipital cortex bilaterally. There is no evidence of intracranial hemorrhage or mass. There are scattered mild foci of T2 hyperintensity within the supratentorial white matter without restricted diffusion. There is no abnormal intracranial enhancement. 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 unremarkable. There is fluid within the mastoid air cells.
1.Mild bilateral perirolandic and occipital cortical acute ischemia compatible with hypoxic injury.2.Mild chronic small vessel ischemic disease. 3.Non-specific bilateral mastoid air cell fluid. 