New onset migraine with visual aura. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few punctate foci of T2 hyperintensity in the bilateral frontal lobe white matter. The brainstem, cerebellum, and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.Orbits: The bilateral globes, optic nerves, orbital fat, extraocular muscles, and lacrimal glands are unremarkable. There is no evidence of intraorbital mass lesions.
1. A few punctate foci of T2 hyperintensity in the bilateral frontal lobe white matter are nonspecific, but may potentially be associated with migraine disorder. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarct. 2. No evidence of orbital lesions.