75 years, Male, mild episodic dizziness, memory loss and lightheadedness. Evaluate for degenerative condition. No intracranial mass or mass effect. There is no restricted diffusion to suggest acute ischemia. There is no intracranial hemorrhage. The ventricles are within normal limits in size and configuration. Few foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with minimal chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. No disproportional volume loss involving the hippocampi. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preservedThere are minimal retained secretions within the left sphenoid sinus. Within the right frontal bone there is an enhancing slightly tubular 0.8 x 0.7 cm lesion without mass effect on the intra-orbital structures. Bone marrow signal and extracranial soft tissues are otherwise within normal limits.
1.No intracranial mass or mass effect. No abnormal parenchymal or meningeal enhancement. There is mild global parenchymal volume loss, which appears appropriate for age. Minimal chronic small vessel ischemic changes.2.Incidentally seen is a subcentimeter slightly tubular, enhancing right frontal/supraorbital osseous lesion which may represent a benign entity suggest varix or small nerve sheath tumor for example but nonspecific. Finding is of doubtful clinical significance.