Behavioral/memory change. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered cerebral white matter T2 hyperintensity. 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. The skull, mastoid air cells, and scalp soft tissues are grossly unremarkable. There is a right lens implant. There is cosmetic filler material within the bilateral nasolabial fold regions and cheeks. There is mucosal thickening and secretions in the left maxillary sinus. There is a small pannus posterior to the dens.
Mild scattered cerebral white matter T2 hyperintensity is nonspecific but may represent chronic small vessel ischemic disease. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.