Female, 69 years old, with new imbalance, history of breast cancer. No enhancing intracranial lesions are seen. No evidence of parenchymal edema or mass effect is detected. There are numerous scattered foci of T2 hyperintensity within the cerebral hemispheres and pons. However, no diffusion restricting lesions are seen. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. Ventricular size and morphology are within normal limits. Fluid levels are evident in the maxillary sinuses.
1.No evidence of intracranial metastases.2.Extensive scattered T2 hyperintense lesions are seen which statistically most likely represent chronic microvascular ischemia.3.No acute or specific findings are seen which would account for the patient's symptoms.4.Paranasal sinus inflammation.