61 years, Female, right face weakness, central. Rule out stroke, metastasis.. 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. Minimal scattered 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. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. There appears to be symmetric enhancement of the bilateral facial nerves without nodules or masses.Partially empty sella incidentally noted, which may be normal variant. Small left maxillary sinus mucus retention cyst. Paranasal sinuses and mastoid cells are otherwise clear. Bone marrow signal and extracranial soft tissues are within normal limits.
MRI of the brain is essentially unremarkable for patient's age. There are minimal chronic small vessel ischemic changes. No evidence of acute infarct or metastatic disease, as questioned.