New daily headache and visual disturbance. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a several scattered punctate foci of cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Several scattered punctate foci of cerebral white matter T2 hyperintensity are nonspecific, but may represent sequela of vasculitis, migraines, small vessel ischemic disease, and demyelination, for example. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarction.