 There is a punctate focus of restricted diffusion and high T2 signal in the left corona radiata. There are also scattered punctate foci and confluent areas of T2 hyperintensity within the periventricular and subcortical white matter, right cerebellar hemisphere, as well as in the pons without restricted diffusion. In addition, there also appear to be scattered prominent perivascular spaces. There is linear and branching susceptibility effect in the right parietal lobe, which likely represent developmental venous anomaly. The ventricles and sulci are within normal limits. The basal cisterns are patent. There is no midline shift or mass effect. The major cerebral flow voids are intact. The midline structures and craniocervical junction are within normal limits. There are nasopharyngeal Thornwaldt and/or mucous retention cysts.
A punctate focus of acute microvascular infarct in the left corona radiata. Other areas of white matter abnormality likely represent chronic small vessel ischemic disease and lacunar infarcts.