 The ventricles and sulci are normal in size and configuration for the patient's age. The basal cisterns remain patent. There is no midline shift or mass effect. There are numerous foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with moderate chronic small vessel ischemic changes. There are a few punctate foci of susceptibility artifact within the right cerebral hemisphere. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is near complete opacification of the left maxillary sinus and bilateral ethmoid air cells. Moderate mucosal thickening is present within the right frontal sinus and right maxillary sinus. No air fluid levels are appreciated.
1.No acute abnormality. 2.Numerous scattered foci of FLAIR hyperintensity are statistically most likely to represent chronic small vessel ischemic disease.3.There are a few scattered foci of susceptibility artifact within the right cerebral hemisphere. These usually indicate chronic microhemorrhage which can be seen in amyloid but also with hypertensive/microvascular hemorrhages and in the setting of prior head trauma.4.Extensive mucosal thickening in the paranasal sinuses as described above.