Headache. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered foci of T2 hyperintensity in the cerebral white matter, particularly on the left side. There is an enlarged perivascular space in the left basal ganglia that measures up to 10 mm. The brain parenchyma otherwise appear unremarkable. 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, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a punctate left temporomandibular joint synovial cyst.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. A few scattered foci of T2 hyperintensity in the cerebral white matter, particularly on the left side are nonspecific, but may represent chronic small vessel ischemic disease.3. An enlarged perivascular space in the left basal ganglia measures up to 10 mm. 4. Punctate left temporomandibular joint synovial cyst, which may be associated with degenerative disease.