Hallucinations. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered cerebral white matter T2 hyperintensity bilaterally, with T2 shine-through and gyriform T1 hyperintensity and enhancement in the right frontal corona radiata and anterior insula on DWI. There is mild cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are small maxillary sinus retention cysts bilaterally. There is degenerative spondylosis in the imaged portions of the cervical spine.
No evidence of intracranial hemorrhage, mass, or acute infarct. Subacute infarct in the right peri-sylvian region superimposed on a background of scattered cerebral white matter T2 hyperintensity bilaterally may represent subacute to chronic small vessel ischemic disease.