Reason: rule out structrual lesions History: headache Examination is somewhat compromised based on metal artifact from the patient's dental procedures to varying degrees depending on the pulse sequence. This results in artifact distorting the appearance of the orbits, paranasal sinuses, the right frontal lobe more than left frontal lobe as well as the right anterior temporal lobe The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 2.Examination is mildly compromised due to metal artifacts which obscure is portions of the right frontal lobe and right temporal lobe and orbits and paranasal sinuses to the extent of visualization no significant abnormality is appreciated intracranially.