Hello, Thank you for using healthcare magic. Bright spots in the white matter and basal ganglia suggest gliotic changes due to prior head injury, trauma, microinfarctions or chronic degenerative loss of myelin. Partial empty sella is an incidental finding probably corresponding to a dilated pituitary fossa in the setting of benign intracranial hypertension. Ethmoidal and left maxillary sinus mucosal thickening indicates inflammatory changes suggestive of sinusitis. Hope my answer may be helpful for you. Based on the above findings i would suggest you to see a neurologist, who may go deeper into your past medical history and to perform a careful neurological examination. Please feel free to contact me if you need any further information. Dr. Juarda