Recent CVA, hypertension and gait abnormality. The exam is somewhat limited due to motion configuration. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Scattered punctate foci of abnormal T2 hyperintensity is seen in the periventricular and subcortical white matter consistent with minimal chronic small vessel ischemic changes. There is demonstration of empty sella. 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 is mild opacification of the left posterior ethmoid cells. There is left maxillary mucosal retention cyst or polyp. The orbits, skull and scalp soft tissues are grossly unremarkable.
No evidence of acute intracranial hemorrhage, mass, or acute infarct. Mild chronic small vessel ischemic changes are present.