Evaluate for left parietooccipital headaches. There is a linear depression of the skin in the left frontoparietal region. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There area a few scattered punctate foci of T2 hyperintensity in the cerebral white matter bilaterally. There is mineralization of the bilateral basal ganglia. 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, and mastoid air cells are grossly unremarkable. There is minimal fluid within a right ethmoid air cell. There is cosmetic filler material in the bilateral nasolabial fold regions.
1. A linear depression of the skin in the left frontoparietal region may be due to extrinsic compression or secondary to trauma perhaps. Direct inspection may help elucidate this further. 2. A few scattered punctate foci of T2 hyperintensity in the cerebral white matter bilaterally are nonspecific, but may represent chronic small vessel ischemia. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.