Acute posttraumatic headache, not intractable. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered cerebral white matter T2 hyperintensity. There may also be a posterior insular cortex punctate focus of high T2 signal versus artifact. 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 evidence of acute intracranial hemorrhage, mass, or acute infarct. Scattered cerebral white matter T2 hyperintensity is nonspecific and may represent chronic small vessel ischemic disease among other possibilities. A posterior insular cortex punctate focus of high T2 signal may represent prior ischemia versus artifact.