Cognitive impairment, please evaluate. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered areas of high T2 signal in the cerebral white matter bilaterally. There is also a small lacunar infarct in the right thalamus with associated susceptibility effect. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a small right temporomandibular joint synovial cyst. There is a partly imaged well-defined subcentimeter left parotid tail T2 hyperintense lesion.
1. Scattered areas of high T2 signal in the cerebral white matter bilaterally may represent chronic small vessel ischemic disease and a chronic hemorrhagic right thalamus lacunar infarct. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. A partly imaged well-defined subcentimeter left parotid tail T2 hyperintense lesion may represent a cyst, but is nonspecific.