Female, 72 years old, with headache. Assess for mass. Scattered foci of periventricular, subcortical and brainstem T2 hyperintensity are seen, a nonspecific finding but one which most likely reflects chronic microvascular ischemic disease.No evidence of parenchymal edema or mass effect is detected. No pathologic intracranial enhancement is seen. No abnormal extra-axial collections are noted. The ventricles and sulci are mildly prominent, particularly in the temporal regions, suggesting underlying volume loss
1.No evidence of any intracranial mass lesion or other acute finding to account for the patient's headaches.2.Temporal predominant volume loss is an incidental finding. Correlation with clinical findings is suggested to determine the significance, if any, of this finding.