Reason: HEADACHES: SARCOID: TREATED HIV: NOW SERO NEGATIVE History: FRONTAL HEADACHES: NORMAL SINUS SCOPE AND NORMAL EYE EXAM: HAS CHEST SARCOID. There is a punctate focus of susceptibility artifact along the left parietal cortex appearing unchanged and compatible with a chronic microhemorrhage or prominent vessel. The brain parenchymal signal is otherwise unremarkable. There is no restricted diffusion to suggest acute ischemic infarction. 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. There is minimal mucosal thickening within the ethmoid air cells. The orbits, skull, paranasal sinuses, and scalp soft tissues are otherwise grossly unremarkable.
No acute abnormality or specific findings to account for the patient's headaches. Please note that this examination does not include intravenous contrast, limiting sensitivity for findings of neurosarcoidosis.