60 years, Male, episodic word finding difficulty. 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. There are a few scattered foci of T2/FLAIR hyperintensity in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with minimal small vessel ischemic changes. There is mild parenchymal volume loss which appears age-appropriate. Brain parenchyma is otherwise unremarkable. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Mild mucosal thickening involving the ethmoid air cells and small amount of layering fluid is seen within the left maxillary sinus. Paranasal sinuses and mastoid cells are otherwise clear. Bone marrow signal and extracranial soft tissues are within normal limits.
Examination is essentially within normal limits for patient's age. There are minimal chronic small vessel ischemic changes. No evidence of recent infarct. 