Worsening headache, evaluate for brain pathology. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are several punctate foci of increased T2/FLAIR signal within the periventricular and subcortical white matter which are favored to reflect normal variant perivascular spaces. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No definite abnormalities or specific findings to account for the patient's symptoms.