 There is no evidence of intracranial hemorrhage or acute infarct. There are scattered patchy foci of T2 hyperintensity throughout the supratentorial and infratentorial white matter that are most compatible with moderate chronic small vessel ischemic disease. 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 left parotid gland and adjacent soft tissues are slightly smaller than the right of uncertain clinical significance. The skull, paranasal sinuses, and scalp soft tissues are unremarkable. There are possible mild appearing degenerative changes of both temporomandibular joints.
1.No evidence of left mastoid abnormality, although, this exam is not designed to evaluate this region. 2.No evidence of intracranial hemorrhage or acute infarct.3.Moderate supratentorial and infratentorial presumed chronic small vessel ischemic disease.4.The left parotid gland and adjacent soft tissues are slightly smaller than the right of uncertain clinical significance.5.Possible mild appearing degenerative changes of both temporomandibular joints that is not well assessed on this exam.