60-year-old male presents with confusion. Markedly motion degraded examination.There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild periventricular and subcortical cerebral white matter T2 hyperintensity. Chronic appearing infarcts in the left cerebellar hemisphere. There is no abnormal intracranial enhancement. 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 orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a T1 hyperintense and T2 hypointense focus in the right anterior ethmoid air cells which likely reflects a proteinaceous retention cyst.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Periventricular and subcortical cerebral white matter T2 hyperintensity which is nonspecific, but likely reflects mild chronic small vessel ischemic disease.3. Chronic infarcts in the left cerebellum.