Decreased smell and taste; UPSIT showed severe microsmia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The olfactory bulbs and olfactory sulci appear to be unremarkable. There are bilateral paradoxical middle turbinates, but the nasal cavity and paranasal sinuses are otherwise intact. There are mild scattered foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. 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.
The olfactory bulbs, olfactory sulci, and nasal cavity appear to be intact, without evidence of intracranial hemorrhage, mass, or acute infarct. Mild scattered foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease.