History of migraine, evaluate for structural abnormality. There are nonspecific scattered subcortical foci of FLAIR abnormality. There is a partially empty sella. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. No abnormal extra-axial fluid collection is identified. There is no midline shift or mass effect. The midline structures and craniocervical junction are within normal limits. There is no diffusion abnormality. Normal flow-voids are demonstrated in the major intracranial vascular structures.The paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.
1.Nonspecific scattered FLAIR white matter foci. Given the patient's history, etiology of migraine is considered most likely, with demyelination and other etiologies remaining in the differential.2.Partially empty sella with no specific MR imaging findings of benign intracranial hypertension. Clinical correlation is recommended.