Headache. Evaluate for structural lesion. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci of T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are non-specific, but may represent prominent perivascular spaces. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is mild mucosal thickening of the bilateral maxillary sinuses, left ethmoid and left sphenoid sinuses. There is disconjugate gaze. There are small mucous retention cysts within the adenoids and nasopharyngeal soft tissues.
1. No acute intracranial abnormality.2. Mild paranasal sinus disease.3. Disconjugate gaze. Please correlate with physical exam.