Female, 69 years old, with essential tremor. Multiple scattered foci of periventricular and subcortical T2 hyperintensity are seen. No evidence of edema or mass effect is detected. No abnormal extra-axial collections are observed. The ventricles and sulci are prominent compatible with underlying volume loss. Hemosiderin staining is seen within several right frontal sulci. No enhancing lesions are observed. Incidentally noted is a developmental venous anomaly which traverses the right genu of the corpus callosum.
1.Scattered foci of T2 hyperintensity are seen, a nonspecific finding which may reflect microvascular ischemic disease.2.Hemosiderin staining is seen along several right frontal sulci likely representing a prior hemorrhagic event.3.Mild parenchymal volume loss is noted.