 There are scattered foci of T2 hyperintensity in the white matter without associated mass effect, restricted diffusion, susceptibility abnormality, or enhancement. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. Note is made of a partially empty sella. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. A prominent perivascular spaces is evident along the lateral aspect of the right inferior basal ganglia. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. A mucous retention cyst is present in the right maxillary sinus, otherwise the paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
Mild chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.