AMS. Evaluate for acute CVA. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. Parenchymal volume loss is again seen with prominence of the ventricles and sulci. There is encephalomalacia of the right inferior parietal lobule which is unchanged. There is no midline shift. The basal cisterns are patent. There is no edema or mass effect. There are patchy areas of T2/Flair signal abnormalities in the subcortical and the periventricular white matter, which are nonspecific, but most likely consistent with chronic small vessel ischemic changes. There is mucosal thickening of the left maxillary sinus. Again seen is a bony anomaly in the medial wall of the right maxillary sinus which may reflect osseous deficiency or sinus expansion which may be either congenital or surgical in nature. There is mild mucosal thickening of the sphenoid sinuses. A small amount of high T2 signal intensity is seen in the left frontal sinus. There is a minimal partial opacification of the left mastoid air cells.
1.No evidence of acute intracranial hemorrhage, mass, or acute infarct. 2.Right parietal encephalomalacia chronic in nature.3.Findings compatible with mild-moderate chronic small vessel ischemic disease.