 MRI BRAIN: The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are multiple scattered foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific. There are no areas of pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.  MRV BRAIN: The superior sagittal sinus, inferior sagittal sinus, transverse sinuses, sigmoid sinuses, straight sinus, vein of Galen, internal cerebral veins, and several visualized cortical veins are patent. There is no evidence of venous thrombosis.
1. No evidence of acute ischemia or venous sinus thrombosis.2. Multiple scattered T2/FLAIR signal in the cerebral white matter, which are non-specific and grossly unchanged. Differential considerations include white matter changes associated with chronic migraines, small vessel ischemic changes, and atypical demyelinating process among others. 