 No evidence of acute infarction. There is small focus of volume loss involving the left inferior cerebellar hemisphere with suggestion of susceptibility effect which may be related to chronic blood products or mineralization related to prior infarct. There are few punctate nonspecific T2/FLAIR foci in the corona radiata and in the centrum semiovale as well as the right posterior pons suggestive of mild chronic microvascular ischemic changes.Ventricular size is normal. There is no midline shift. There is no evidence of mass effect or edema. Vascular flow voids are normal. There is minimal fluid in the bilateral mastoid air cells, right greater than left. There is partial opacification of the right posterior ethmoid air cells. Paranasal sinuses are otherwise clear.
1. No evidence of acute infarction. No evidence of mass effect or edema.2. Small chronic left inferior cerebellar infarct.