Other complicated headache syndrome [G44.59] / Dizziness and giddiness [R42], Reason for Study: ^Reason: L HA/ear pain, vertigo, tinnitus History: L HA/ear pain, vertigo, tinnitus Brain MRIThere is no evidence of acute ischemic or hemorrhagic lesion on this scan.There is no evidence of abnormal enhancement.Underlying brain shows multiple bihemispheric scattered high signal intensity lesions on FLAIR/T2 images which indicate non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.Brain MRA3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate normal ICAs, MCAs and ACAs. Vertebrobasilar system appears to be normal. There is no evidence of intracranial arterial aneurysm. No intracranial arterial luminal stenosis or irregularity.
1. Non specific small vessel ischemic disease. 2. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.3. Normal brain MRA.