 There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are are multiple patchy subcentimeter foci of T2/FLAIR hyperintensity within the bilateral frontal subcortical white matter as well as an additional focus within the left occipital subcortical white matter. The myelination pattern is appropriate for age. The ventricles and basal cisterns are normal in size and configuration. The midline structures and craniocervical junction are within normal limits.There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are unremarkable. There is mild paranasal sinus mucosal thickening and fluid within the left mastoid air cells.
1.Multiple nonspecific patchy foci of signal abnormality within the bilateral frontal and left occipital subcortical white matter. These are nonspecific but may represent atypical perivascular spaces or foci of gliosis from prior insults. There is no evidence of congenital malformation. 2.Mild non-specific paranasal sinus mucosal thickening and fluid within the left mastoid air cells. Please correlate clinically.