 There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. There are minimal scattered small foci of T2/FLAIR signal hyperintensity in the deep white matter, suggestive of minimal small vessel ischemic disease. Flow voids are present within the major vessels indicating patency. There is a trace amount of fluid in the right maxillary sinus. Otherwise, the paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain. Bone marrow signal is within normal limits.
1. No evidence of intracranial metastatic disease. 2. Mild chronic small vessel ischemic changes.