Female, 54 years old, with headache. Assess for intracranial mass. Numerous patchy foci of white matter T2 hyperintensity are seen within the cerebral hemispheres without associated restricted diffusion or mass effect. No parenchymal edema is seen. No evidence of significant intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The ventricular system is patent and normal in size.
1. Numerous scattered foci of white matter T2 hyperintensity are seen, a nonspecific finding which can reflect chronic sequelae of microvascular ischemic disease, demyelination, migraine headache, vasculitis or other inflammatory conditions.2. No evidence of any intracranial mass or other definite acute intracranial findings.