44-year-old male with a history of visual disturbance and 2011 followed by memory difficulty. There are few punctate foci of T2 hyperintensity within the subcortical white matter, which are nonspecific. No evidence of acute ischemia or hemorrhage. No intracranial mass or mass effect. No abnormal enhancement. Ventricular configuration is within normal limits. Normal flow voids are seen in the major intracranial vessels. Minimal paranasal sinus mucosal thickening. Mild medial herniation of the orbital fat is seen bilaterally which may related to prior trauma but can be a normal variant. The soft tissues of the scalp are normal.
Minimal scattered punctate foci of T2 hyperintensity within the subcortical white matter which are nonspecific and may represent mild chronic small vessel ischemic changes. Morphology and distribution are not particularly suggestive of demyelinating disease although not entirely excluded. MRI of the brain is otherwise unremarkable. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.