Migraines different in nature. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma, brainstem, cerebellum, and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there are multiple mildly prominent lymph nodes in the imaged portions of the head and neck.
1. No evidence of acute intracranial hemorrhage, mass, or ventriculomegaly.2. Multiple nonspecific mildly prominent lymph nodes in the imaged portions of the head and neck, ranging from normal variant, to a reactive process, to potentially a manifestation of a lymphoproliferative process, for example. Perhaps dedicated imaging of the neck would be useful.