Hi there Connie, This sounds like a normal MRI. I ll break it down for you - no acute infarct means that there isn t any evidence of any dead tissue (like from a recent stroke) - No Demyelination - sometimes in autoimmune disorders like MS you can get damage to the nerves in the brain which causes the myelin which wraps the nerve sheaths to be damaged. This isn t the case her - No edema - edema means swelling - Mass - self explanatory - no masse. - Soiltary punctate hyperintense foci in the right front lobe white matter region- there s a very small dot they see on the MRI in the right frontal lobe that is lighting up. They explain that this could be due to chronic migraines or from a tiny area that isn t getting blood flow - microvascular insult. It sounds extremely small, and I wouldn t worry about this. This is likely from normal aging. - Minimal postinflammatory mucosal thickening - if you ve ever had sinus infections, this is what this means. - Pineal gland cyst - the pineal gland is found near the brain, and you have a small cyst there. Nothing to worry about. Connie, overall this is a fairly normal MRI without any findings other than sinusitis. Nothing significant to worry about here. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven t addressed your question adequately.