47 years, Male, chronic headaches, pressure behind eyes, numbness on face. Well controlled HIV. No intracranial mass or mass-effect. No abnormal parenchymal or meningeal enhancement. No restricted diffusion to suggest acute ischemia. There is a punctate focus of susceptibility effect in the left parietal cortex abutting the sulcus favored to represent chronic microhemorrhage and nonspecific; there is no corresponding enhancement to suggest a tiny peripheral/mycotic aneurysm. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No intracranial mass or mass effect. No abnormal parenchymal or meningeal enhancement.2. Solitary punctate focus of susceptibility effect in the left parietal lobe which appears to be along the cortical surface and favored to represent a chronic microhemorrhage or focus of mineralization. Given absence of associated enhancement, much less likely this represent a tiny peripheral aneurysm in the adjacent subarachnoid space. If further evaluation however is desired, CTA head without and with contrast may be helpful. MRI brain is otherwise unremarkable.