Slurring of the speech. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered areas of high T2 signal in the cerebral white matter bilaterally. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is fluid throughout the paranasal sinuses. There is also a small amount of fluid within the mastoid air cells bilaterally. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. Findings suggestive of acute pansinusitis.2. No evidence of acute intracranial hemorrhage, mass, or acute infarct.3. Scattered areas of high T2 signal in the cerebral white matter bilaterally may represent chronic small vessel ischemic disease. 