Mild aphasia and cognitive decline, assess for atrophy/cerebrovascular disease. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal scattered bilateral cerebral white matter T2 hyperintensity, which are unchanged and nonspecific. 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. There is opacification in the right maxillary sinus, which appears to be atelectatic. The orbits, skull, and scalp soft tissues are unchanged. There is multilevel degenerative cervical spondylosis, with mild anterolisthesis of C3 on C4.
1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Unchanged mild probable chronic small vessel ischemic cerebral white matter disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.