 There multiple small foci of decreased diffusion within the deep right frontal white matter and right occipital cortex. There are also additional unchanged small foci of T2 hyperintensity within the supratentorial white matter compatible with chronic small vessel ischemic disease and a chronic left occipital infarct. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are unremarkable. There is minimal paranasal sinus mucosal thickening and fluid within the mastoid air cells bilaterally.
1.Multiple small foci of acute infarction within the deep right posterior frontal white matter and right occipital cortex, likely within a watershed distribution.2.Mild unchanged chronic small vessel ischemic disease and a chronic left occipital infarct.3.Nonspecific mild paranasal sinus mucosal thickening and mastoid air cell fluid.