Benign intracranial hypertension: Evaluate for etiology of headaches, change in frequency. There is a partially-empty sella. There are mildly low lying cerebellar tonsils. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered cerebral white matter T2 hyperintense foci. There is also a punctate focus of susceptibility effect in the right superior frontal gyrus. The brain parenchyma otherwise appears unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
A partially-empty sella and mildly low lying cerebellar tonsils are nonspecific, but may be manifestations of pseudotumor cerebri. Mild scattered cerebral white matter T2 hyperintense foci and a punctate focus of susceptibility effect in the right superior frontal gyrus are nonspecific, but may represent chronic small vessel ischemic disease and chronic microhemorrhage, respectively. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarct. 