Female, 40 years old, with vertigo. No evidence of restricted diffusion is seen. Scattered punctate T2 hyperintense foci are seen predominantly within the juxtacortical white matter of the cerebral hemispheres, a nonspecific finding. A 3 mm focus of susceptibility within the right insula is seen likely representing chronic microhemorrhage.No pathologic parenchymal or extra-axial enhancement is seen. No evidence of acute intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The ventricles are normal in size and morphology.On dedicated MRA imaging, normal flow related signal is seen within the anterior and posterior circulation. No evidence of any significant vascular stenosis or occlusion is seen. No aneurysm or vascular malformation is detected within the limitations of technique.
1.No acute intracranial abnormality.2.No significant vascular abnormality.3.Scattered small foci of white matter T2 hyperintensity are seen, a nonspecific finding which may reflect sequelae of prior inflammation, demyelination, a vasculitic process or migraine headache.