 The ventricles and sulci are within normal limits. Few scattered foci of T2/FLAIR signal in the subcortical and periventricular white matter likely representing minimal chronic small vessel ischemic disease. Small chronic right caudate head lacunar infarct. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. Left maxillary sinus mucosal thickening.
1.No evidence of brain metastases or other findings to account for patient's symptoms.2.Minimal chronic small vessel ischemic disease, essentially within normal limits for age.