 There are multiple foci of T2/FLAIR hyperintensity throughout the white matter which are nonspecific but compatible with mild chronic small vessel ischemic disease in this age group. Cystic changes are seen in the bilateral medial thalami with mild peripheral FLAIR hyperintensity which may represent prominent perivascular spaces versus chronic lacunar infarcts. No evidence of acute infarct, hemorrhage, intracranial mass, or mass effect. Bilateral hippocampi are symmetric in size, signal intensity, and with preserved internal architecture. Ventricles are within normal limits for age.There is mild and smooth asymmetrically increased thickening and enhancement of the dura along the right convexity which is nonspecific. No discrete fluid collection. No associated nodularity or significant thickening. Otherwise no abnormal parenchymal or meningeal enhancement is appreciated. Major flow-voids are preserved. Bone marrow signal and extracranial soft tissues are unremarkable.
1. No intracranial mass or mass effect. Nonspecific T2/FLAIR hyperintense foci are seen which are nonspecific but compatible with mild chronic small vessel ischemic disease. Cystic changes are seen in the bilateral medial thalami with mild peripheral FLAIR hyperintensity which may represent prominent perivascular spaces versus chronic infarcts.2. Mild, smooth asymmetrically increased enhancement of the dura along the right convexity which is nonspecific and may be related to a benign etiology such as prior subdural hematoma. No significant extra-axial collections, mass effect, or nodularity associated with the thickening is appreciated.