Female, 44 years old, with two weeks of new biparietal headache associated with nausea in the a.m., also with photophobia on exam. No evidence of restricted diffusion is seen. Scattered small foci of FLAIR hyperintensity are demonstrated within the cerebral white matter. No edema or mass effect is detected. No evidence of acute or chronic intracranial hemorrhage is seen and there are no abnormal extra-axial fluid collections. The ventricular system is normal in size and morphology. A partially empty sella is noted. On postcontrast images, the pattern of intracranial enhancement is within normal limits. Staphylomatous deformity of the right globe is demonstrated.
1.No acute intracranial abnormalities.2.Multiple scattered small foci of FLAIR hyperintensity are evident in the cerebral hemispheres somewhat more numerous than expected for age. This is a nonspecific finding but can reflect microvascular ischemia, vasculitis, sequelae of migraine headache or demyelination among other possibilities.3.Partially empty sella is seen, also a nonspecific finding which can potentially be within normal limits for age. However, it is also seen in conditions of elevated intracranial pressure including idiopathic intracranial hypertension.