Female, 54 years old, with right facial and jaw pain. Patchy foci of periventricular and subcortical T2 hyperintensity are seen in the bilateral cerebral hemispheres. No evidence of restricted diffusion is seen. No parenchymal edema or mass effect is detected.No evidence of intracranial hemorrhage or any abnormal extra-axial fluid is detected. Relatively symmetric T2 hyperintensity in the bilateral cerebral peduncles likely reflects dilated perivascular spaces as it suppresses on FLAIR. The ventricular system is patent and normal in size.Although not a dedicated examination for the assessment of cranial nerves, no definite or large abnormalities are suspected within the suprasellar or prepontine cisterns.
1.No specific findings to account for the patient's pain.2.Patchy nonspecific white matter signal abnormality is seen which may reflect chronic microvascular ischemic disease or the chronic sequelae of demyelination, vasculitis or some other inflammatory process.