Headache. There are multiple small foci of T2 hyperintensity in the bilateral cerebral white matter, pons, and bilateral basal ganglia and thalami. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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, mastoid air cells, and scalp soft tissues are grossly unremarkable. There is scattered paranasal sinus mucosal thickening.
Multiple small foci of T2 hyperintensity in the bilateral cerebral white matter, pons, and bilateral basal ganglia and thalami are nonspecific and may represent chronic ischemic disease or the sequela of a demyelinating or inflammatory process, but no evidence of acute infarct or mass lesions. 