Male, 47 years old, with new severe headaches, history of PE and DVTs. No definite restricted diffusion is seen. Small areas of bright diffusion signal along the left paracentral lobule and within the medulla are favored to be artifactual. No edema or mass effect is detected. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. Ventricular size and morphology are within normal limits. A pineal region cystic lesion is evident measuring up to 13 mm. On MRV images, the dural venous sinuses and visualized deep veins are patent.
1.No definite acute intracranial abnormality or other specific findings which would account for the patient's symptoms.2.No evidence of dural venous thrombosis.3.Incidental note is made of a pineal region cystic lesion. These lesions are most likely benign and do not require specific imaging follow-up.