MRI shows there is a single 5.2 mm T2 FLAIR hyperintense foci in left anterior corona radiata. It also shows a 6.6 mm CSF signal intensity mass in right insula, small amount of adjacent T2 hyperintensity. Report states,"Would favor this represents a prominent perivascular space over remote lacunar infarct." The lower portion of the vermis appears hypoplastic, suspect this is congenital/developmental in nature resulting in a mildly prominent cisterna magna and fourth ventricle. Prominent perivascular spaces suspected within the right insula/basal ganglia. Congenital hypoplasia of inferior vermis suspected resulting in a prominent cisterna magna and fourth ventricle. What in the world does all of this mean???