New onset migraines. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a nonspecific punctate cystic focus in the right frontal lobe periventricular white matter, anterior to the right caudate head. Otherwise, the brain parenchyma and pituitary gland appear unremarkable. 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.
Nonspecific punctate cystic focus in the right frontal lobe periventricular white matter, anterior to the right caudate head, which may represent sequela of prior injury or a prominent perivascular space. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.