Patient with 3 episodes of TIA/stroke like symptoms. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are multiple scattered foci of T2 hyperintensity in the cerebral white matter. 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. There is hyperostosis frontalis and scattered prominent dural ossification.
No evidence of acute infarct. Rather, multiple scattered foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease.