44-year-old female with worsening headache with morning nausea and blurry vision. Assess for intracranial pathology. Redemonstrated are two punctate foci of Flair hyperintensity in the left centrum semiovale and right frontal subcortical white matter, without new lesions. These remain nonspecific.There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland 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.
Minimal nonspecific white matter signal abnormality unchanged from the exam of 11/9/2011 and without new lesions.