Headache [R51], Reason for Study: ^Reason: questioning headaches History: new onset of headaches waking patient up in the morning every day, with new onset of numbness and tingling No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.Several scattered T2/FLAIR high signal intensity lesions on periventricular white matter which are nonspecific.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, 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.
1. No evidence of acute ischemic or hemorrhagic lesion.2. No evidence of abnormal enhancement.3. Nonspecific T2/FLAIR high signal intensity white matter lesions likely represent small vessel ischemic disease.