41-year-old female with history of recurrent headaches and left facial numbness. Evaluate for lupus cerebritis. There are mild scattered punctate foci of T2 hyperintensity in the cerebral white matter. There is no evidence of intracranial hemorrhage, mass, or acute infarct. 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.
Mild scattered punctate foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may be a manifestation of lupus vasculitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.