Clinical question: Are there any abnormal structural or space-occupying lesions. Signs and symptoms: 30 year-old female has history of migraine headaches. Recently headaches have become worse and more frequent. Pre and post enhanced brain MRI:No diffusion-weighted abnormalities.There is normal anatomical morphology and signal intensity of brain parenchyma all MRI sequences.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination.Normal visualization of signal void of major intracranial arterial branches.Normal signal intensity of the intracranial venous sinuses.Unremarkable calvarium and soft tissues of the scalp.Unremarkable images through the orbits, paranasal sinuses and mastoid air cells.Post enhanced images are unremarkable and demonstrate no abnormal parenchymal, leptomeningeal, calvarial or retroperitoneal abnormal enhancement.
Unremarkable pre- and post enhanced brain MRI as detailed above.