 There are mild scattered nonspecific T2 hyperintensities in the cerebral white matter. There is also a nonspecific punctate focus of susceptibility effect in the posterior right temporal lobe. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a small left maxillary sinus retention cyst.
1. Mild scattered nonspecific T2 hyperintensities in the cerebral white matter may represent chronic small vessel ischemic disease. 2. A nonspecific punctate focus of susceptibility effect in the posterior right temporal lobe may represent a chronic microhemorrhage. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.