Female 74 years old Reason: NSCLC History: headache. There are multiple foci of T2 hyperintensity in the periventricular and subcortical white matter. There is a prominent left inferior basal ganglia perivascular space. There is no abnormal intracranial enhancement. There is no evidence of intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the right maxillary and sphenoid sinuses.
1. No evidence of enhancing intracranial metastases.2. Probable chronic small vessel white matter ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.