 Moderate bilateral focal subcortical T2/FLAIR signal abnormality, which is nonspecific. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. No diffusion-weighted abnormalities are identified. Flow voids are present within the major vessels indicating patency. Right maxillary mucous retention cyst; otherwise, paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain.
Periventricular and subcortical white matter signal changes of a mild degree are present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. 