 The ventricles and sulci are normal in size. There are scattered foci of T2 hyperintensity within the white matter without associated mass effect. The cerebellar tonsils are in appropriate position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. There has been previous sinus surgery and opacification is noted throughout all the paranasal sinuses, sparing the sphenoid sinuses. The mastoid air cells demonstrate fluid within a few bilateral dependent air cells. There is no abnormal enhancement within the brain.
1.Chronic small vessel ischemic disease.2.No masses, mass affect, or midline shift.