6th and 7th nerve palsy with headache. No evidence of acute ischemic or hemorrhagic lesion on this scan.Multifocal scattered high signal intensities on bilateral hemispheres on FLAIR images indicate minimal non specific small vessel disease.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.3D MRV brain post-gadolinium with maximum intensity projections of the superficial/deep intracranial venous drainage demonstrate normal flow enhancement in the superior sagittal sinus, transverse sinuses, sigmoid sinuses, internal cerebral veins, vein of Galen and straight sinus.
No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal non specific small vessel disease.Normal brain MRV. 