 The ventricles and sulci are normal in size. There is mild crowding of structures at the foramen magnum without tonsillar herniation or evidence of Chiari malformation. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. There is mild mucosal thickening of the maxillary sinuses bilaterally. The paranasal sinuses and mastoid air cells are otherwise clear. There is no abnormal enhancement within the brain.
Normal examination of the brain without evidence of intracranial hemorrhage, infarction, or abnormal enhancement.