Headache [R51] / Unspecified convulsions [R56.9], Reason for Study: ^Reason: increasing headaches and possible seizures in past. Eval for structural lesion History: headaches/seizures No evidence of acute ischemic or hemorrhagic lesion.Multiple scattered bihemispheric FLAIR high signal intensity lesions on periventricular white matter and centrum semiovale indicate nonspecific 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, or restricted diffusion/acute ischemia. 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.
Nonspecific small vessel ischemic disease as described above.No evidence of acute ischemic or hemorrhagic lesion.