48 years Female (DOB:4/7/1967)Reason: lesion? History: worsening headaches and severe dizzinessPROVIDER/ATTENDING NAME: THOMAS J KELLY THOMAS J KELLY The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Several punctate subcortical white matter lesions are present which are hyperintense on T2 and FLAIR MRI. These are probably of little clinical significance and are frequently seen at this age. They're nonspecific.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There is diffuse marrow replacement identified in the calvarium.
1. No intracranial lesions are appreciated to explain the patient's headaches.2.Diffuse marrow replacement is a nonspecific finding but can be seen with sickle cell anemia or other forms of anemia myeloproliferative disorders etc. Given the patient's history of sickle cell trait is most likely related to this.