Daily headaches. No intracranial mass or mass-effect. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. The ventricles are within normal limits in size and configuration. There is mild parenchymal volume loss commensurate with age. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. There is mild paranasal sinus disease with mild mucosal thickening involving the left maxillary sinus and partial opacification of the bilateral anterior ethmoid air cells. Bone marrow signal and extracranial soft tissues are within normal limits.
1. MRI of the brain is essentially unremarkable for age. No intracranial mass or mass effect. 2. Mild chronic small vessel ischemic changes. 3. Mild paranasal sinus mucosal thickening.