 This exam is mildly degraded by motion artifact. There is no evidence of intracranial hemorrhage or acute infarct. There are few scattered small foci of T2 hyperintensity within the supratentorial and infratentorial white matter most compatible with chronic small vessel ischemic disease. There are a few small linear flow voids within the right temporal lobe best seen on series 501 images 17 and 18 with a large associated vein best seen on series 802 image 107. These findings are most compatible with a developmental venous anomaly. 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 skull, paranasal sinuses, and scalp soft tissues are unremarkable. There are two moderately sized nasopharyngeal T1 and T2 hyperintense well-defined lesions that measure up to 2.2 cm and are located just anterior to the longus coli muscles. There is resultant eustachian tube obstruction and fluid within the bilateral mastoid air cells.
1.No evidence acute ischemia.2.Mild supratentorial and infratentorial chronic small vessel ischemic disease.3.Two moderately size cystic lesions within the nasopharynx with eustachian tube obstruction and resultant mastoid air cell fluid. These may represent retention cysts although a contrast enhanced CT or MR of the neck is recommended for further characterization.