 BRAIN: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a subcentimeter nonspecific focus of cortical T2/FLAIR hyperintensity within the medial left parietal lobe with a tiny curvilinear internal flow void and a prominent adjacent vessel on SWI which may be accentuated by the T2 hyperintensity, but without associated significant susceptibility effect, diffusion restriction, or enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Thre is a 4 mm cystic structure in the pineal gland. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable.MRA HEAD: This portion of the exam is mildly degraded by motion artifact. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis, aneurysm, or vascular malformation.
Small nonspecific focus of cortical T2 hyperintensity within the medial left parietal lobe containing a very small internal curvilinear flow void with an adjacent prominent vein, and no significant susceptibility or enhancement at this time. This is non-specific and may represent a small cortical dysplasia or a very small vascular malformation such as a telangiectasia, and follow-up imaging is suggested to ensure stability. Otherwise, no evidence of intracranial vascular malformation. 