 The examination is limited by motion artifact. There is scattered periventricular white matter and pontine T2 hyperintensity and a small lacunar infarction in the left basal ganglia and corona radiata, but no evidence of acute infarction. There is no midline shift or mass effect. There is diffuse prominence of the cortical sulci in proportion to the ventricles consistent with mild global volume loss. There is a persistent cavum septum pellucidum and vergae. There is an enlarged partially empty sella. There is no abnormal enhancement. There is a fluid level in the right maxilla sinus and there is mild mucosal thickening of the ethmoid sinus. There is a small left maxillary retention cyst.
1. Sequela of chronic microvascular ischemic change and lacunar infarct in the left basal ganglia and corona radiata without evidence for acute infarction.2. Right maxillary sinus air-fluid level and mucosal thickening of the ethmoid air cells suggest acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.