Please evaluate for basal ganglia or temporal lesion: Tics and episodes of somatosensory hallucinations. There is no evidence of intracranial hemorrhage, mass, or acute infarct. However, there are multiple punctate scattered cerebral white matter T2 hyperintense foci, with relative sparing of the temporal lobes. The basal ganglia are unremarkable. There is mild cavum septum pellucidum. The ventricles and basal cisterns are otherwise 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.
1. Multiple scattered cerebral white matter T2 hyperintense foci are nonspecific, but may represent sequela of prior infection, vasculitis, toxic substance exposure, or perhaps demyelinating lesions, for example.2. No evidence of acute intracranial hemorrhage, mass, or acute infarct.