Headache [R51] / Systemic lupus erythematosus, unspecified [M32.9], Reason for Study: ^Reason: h/o neuropsych lupus, off lupus meds, here with concern for flare History: headache Brain MRINo evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.There are scattered T2/flair high signal intensities on bilateral subcortical white matter. These are nonspecific.The ventricles, sulci and cisterns are 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. Left ACA A1 segment is hypoplastic.Brain MRVMotion artifact degraded image quality.3D MRV brain post-gadolinium with maximum intensity projections of the superficial/deep intracranial venous drainage demonstrate normal flow enhancement in the superior sagittal sinus, transverse sinuses, sigmoid sinuses, internal cerebral veins, vein of Galen and straight sinus.
1. Nonspecific T2/FLAIR high signal intensity lesions on bilateral subcortical white matter.2. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.3. Normal brain MRA.4. Normal brain MRV