Headache. There is scattered periventricular and subcortical T2/FLAIR hyperintensity, probably chronic microvascular ischemic disease. There is no restricted diffusion to suggest infarct. There is no evidence of intracranial hemorrhage or mass. 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, paranasal sinuses, and scalp soft tissues are grossly unremarkable. An empty sella is incidentally noted. The calvarium appears diffusely thickened with a heterogeneous appearance. There are mild degenerative changes of the upper cervical spine.
1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.Scattered periventricular and subcortical T2/FLAIR hyperintensity,compatible with chronic microvascular ischemic disease.3. Nonspecific diffuse thickening of the calvarium. In the absence of any known malignancy (for which a bone scan would be recommended), correlate for metabolic abnormality.