 The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There is a single nonspecific punctate focus of T2/FLAIR hyperintensity left centrum semiovale There are no areas of pathological enhancement. There is no diffusion abnormality to suggest recent ischemia. 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. There is a moderate-sized air-fluid level in the right maxillary sinus mild circumferential mucosal thickening. The right maxillary sinus contents demonstrates mild diffusion restriction dependently. There is also mild mucosal thickening along the right anterior ethmoid air cells.CERVICAL SPINE
1.No acute intracranial abnormality. Punctate focus of nonenhancing nonspecific FLAIR hyperintensity in the left centrum semiovale.2.Moderate-sized air-fluid level in the right maxillary sinus with associated diffusion restriction concerning for acute sinusitis. Please correlate clinically for possibility of etiology of headache.3.Minimal mid cervical spondylotic changes as detailed above with no high-grade central spinal canal stenosis. Findings most conspicuous at C4-C5 where there is a small right paracentral disc extrusion abutting the right ventral cord. Mild to moderate right foraminal narrowing at C5-C6 and C6-C7.