Chronic loss of balance and right facial droop. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is minimal scattered nonspecific cerebral white matter T2 hyperintensity bilaterally. Apparent high T1 signal on the high resolution post-contrast images along the right lateral wall of the fourth ventricle corresponds to venous sinus pulsation artifact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of intracranial hemorrhage, mass, or acute infarct. 