 There are a few scattered punctate foci of T2 hyperintensity primarily in subcortical white matter locations without restricted diffusion, mass effect, susceptibility abnormality, or enhancement. No similar appearing foci are noted in the posterior fossa. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is 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. Flow voids are present within the major vessels indicating patency. Mild mucosal thickening is present within the left maxillary sinus and minimal is noted in the left sphenoid sinus. The remaining paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
1.Mild chronic small vessel ischemic disease.2.Mild mucosal thickening is present within the left maxillary sinus and minimal is noted in the left sphenoid sinus. 