Female, 62 years old, presenting with chronic headaches and vision changes, decreased hearing, waking up from sleep, dizziness. Scattered foci of T2 hyperintensity are demonstrated in the cerebral white matter, a nonspecific finding. No restricted diffusion is seen. No evidence of parenchymal edema or mass effect is detected. No findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection are seen. On postcontrast images, no pathologic parenchymal or extra-axial enhancement is detected. The ventricular system is normal in size and morphology.
Scattered small foci of white matter signal abnormality are nonspecific but may represent chronic microvascular ischemic disease, sequelae of migraines, or the sequelae of inflammation or demyelination among other possibilities.No acute intracranial abnormalities are detected, and no additional specific findings are seen which would account for the patient's symptoms.