 There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is susceptibility effect within the right superior frontal sulcus compatible with chronic subarachnoid hemorrhage. There are mild scattered punctate foci of T2 hyperintensity within the supratentorial 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, although, there is an apparent medially directed 2-mm outpouching involving the flow void of the right cavernous internal carotid artery. The skull and scalp soft tissues are unremarkable. There is minimal fluid and mucosal thickening within the sphenoid sinuses. There are partially imaged degenerative changes of the cervical spine resulting in at least mild spinal canal stenosis at C4-C5.
1.No evidence of acute infarct. 2.Mild chronic small vessel ischemic disease.3.Chronic right frontal subarachnoid hemorrhage. 4.Probable approximately 2mm aneurysm of the medial right cavernous carotid artery into the cavernous sinus is not well evaluated on this exam. Dedicated vascular imaging may be obtained for further evaluation.5.Fluid in sphenoid sinuses. Please correlate clinically.