Constant headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are are scattered areas of high T2 signal in the cerebral white matter bilaterally. 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.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Probable chronic small vessel ischemic disease.