History of lupus and headaches. Evaluate for any abnormalities. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are multiple punctate foci and confluent areas of T2 signal abnormality in the periventricular and subcortical white matter in the bilateral frontal, parietal, temporal and to a lesser degree the occipital lobes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is minimal opacification of a few right mastoid air cells. The skull and extracranial soft tissues are unremarkable.
1. Multiple subcortical white matter lesions in the supratentorial white matter, which likely represent CNS involvement of lupus.2. No evidence of intracranial hemorrhage, mass, or acute infarct.