18-year-old male with sickle cell, now presents with numbness and tingling in face. Evaluation slightly limited by motion artifact on several series.There is no evidence of acute infarct, intracranial hemorrhage, or mass. There are scattered foci of increased T2 signal in the subcortical and periventricular white matter, without significant interval change when allowing for differences related to motion degradation. There is no abnormal intracranial enhancement within the limits of motion degraded study. 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. There is diffusely decreased T1 marrow signal within the skull and upper cervical spine, which is nonspecific and may relate to chronic anemia. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. No evidence of acute infarct, acute intracranial hemorrhage, mass, or abnormal intracranial enhancement.2. Grossly unchanged scattered foci of increased T2 signal in the subcortical and periventricular white matter, which are nonspecific but may represent chronic small infarcts.