LUE and LLE numbness. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is encephalomalacia with gyriform susceptibility effect in the right posterior parietal and occipital lobes with ex vacuo dilatation of the right occipital horn. There is also mild scattered nonspecific cerebral white matter T2 hyperintensity. There is no midline shift or herniation. There is mild aneurysm dilatation of the left distal middle cerebral artery. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Encephalomalacia in the right posterior parietal and occipital lobes related to chronic infarction and mild scattered nonspecific cerebral white matter T2 hyperintensity that may represent chronic small vessel ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Mild aneurysm dilatation of the left distal middle cerebral artery.