Dementia with unresolving AMS. There is diffuse cerebral white matter T2 hyperintensity bilaterally. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are secretions with high T1 and low T2 signal and diffuse mucosal thickening within the right maxillary sinus.
1. Probable chronic small vessel whiter matter ischemic disease and mild diffuse cerebral volume loss, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Complete opacification of the right maxillary sinus with hyperattenuating components and mild protrusion into the nasal cavity, which may be related to chronic inspissated secretions. 