History of hypertension and seizure disorder. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered cerebral white matter T2 hyperintense foci. There are subcentimeter foci of susceptibility effect in the left posterior cingulate gyrus and left superior parietal lobule. There is no abnormal intracranial enhancement. The ventricles and sulci are mildly prominent diffusely. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild scattered paranasal sinus mucosal thickening.
1. Subcentimeter foci of susceptibility effect in the left posterior cingulate gyrus and left superior parietal lobule may represent chronic microhemorrhages related to hypertension or amyloid angiopathy versus cavernous malformations, for example. 2. No evidence of acute infarct.3. A few cerebral white matter T2 hyperintense foci may represent chronic small vessel ischemic disease.4. Mild diffuse cerebral volume loss.