 The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. Small scattered foci of T2/FLAIR hyperintensity in the white matter are nonspecific. Brain parenchymal volume is within normal limits. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
Punctate foci of T2/FLAIR hyperintensity in the white matter which are nonspecific but may represent chronic microvascular ischemic disease or other possible etiologies such as prior inflammatory or vascular processes. Otherwise, no significant volume loss or any other findings to account for patient's symptoms.