Possible cerebellar infarct. There is a moderate degree of cerebral white matter T2 hyperintensity, primarily in a periventricular distribution. Aside from a mega cisterna magna, the cerebellum appears to be unremarkable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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 are secretions and mucosal thickening in the right maxillary, right frontal, and left sphenoid sinuses. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. Probable chronic small vessel ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Findings suggestive of sinusitis.