Reason: dizziness, right gait deviation History: vertigo, ataxia There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered periventricular and subcortical T2 hyperintensities which are nonspecific. Small T2 hyperintensities in the pons without diffusion restriction are also noted. 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. Osteoma in the frontal sinus is better seen on recent CT.
1.No evidence of an acute infarct.2.Scattered periventricular and subcortical T2 hyperintensities as well as T2 hyperintensity in the pons may represent chronic small vessel ischemic disease, however at this age, the differential diagnosis also includes demyelinating disease, chronic migraines or other infectious/inflammatory etiologies. Please note, the pattern of disease is not classic for MS.