New headache. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered 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. There is a defect in the left medial orbital wall, which may represent a prior fracture. There is susceptibility effect in the left frontal scalp region, which may represent metal within or overlying the scalp. There is a nonspecific enhancing lesion in the right frontal skull that measures up to 10 mm.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Mild scattered cerebral white matter T2 hyperintensity may represent chronic small vessel ischemic disease. 3. Nonspecific enhancing lesion in the right frontal skull that measures up to 10 mm. Follow up via a head CT may be useful for further characterization.