 Ventricular size is normal. No midline shift. There is a normal gray-white matter differentiation. No evidence of bleed, mass effect, or edema.There are nonspecific T2 and FLAIR high signal in the white matter, most likely representing chronic ischemic small vessel disease.Diffusion images demonstrate no restricted abnormalities. Susceptibility images are within normal limits.Flow void of the visualized internal carotid arteries and the cerebral arteries are within normal limits.There is a midline cyst in the nasopharynx, representing a Thornwaldt cyst.There is fluid retention cyst in the right maxillary sinus.A bony overgrowth is seen in the right occipital bone, unchanged from the previous study.
No evidence for acute intracranial hemorrhage, mass effect, or edema. 