67 years, Female, ataxia. Rule out ischemia. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. Mild global parenchymal volume loss is evident, with relatively greater involvement of the bilateral parietal lobes. Major flow-voids are preserved.Empty sella is incidentally noted with prominent expansion of the sella. There is also enlargement of the Meckel's caves which are CSF filled. Right lens implant. There is mild scattered paranasal sinus opacification including mucous retention cysts in the bilateral maxillary and left frontal sinuses.
1. No evidence of acute infarct, intracranial hemorrhage, or mass. 2. Mild chronic small vessel ischemic disease.3. Empty sella which is enlarged as well as enlarged CSF spaces in the Meckel's caves. These findings are nonspecific but can be seen with intracranial hypertension in the appropriate clinical setting.