44-year-old male presents with headaches for approximately 2 weeks. No restricted diffusion to suggest acute ischemia. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Minimal foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical white matter, which are nonspecific. Chronic lacunar infarct in the left anterior basal ganglia and corona radiata with associated susceptibility suggestive of prior hemorrhage. There is a partially empty sella.No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. Incidental note is made of a right parietal developmental venous anomaly.The orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. No pathologic intracranial enhancement. 2. Chronic lacunar infarct in the left anterior basal ganglia and corona radiata with associated susceptibility suggestive of prior hemorrhage. 3. Partially empty sella which may be a normal variant, however, may reflect idiopathic intracranial hypertension in the appropriate clinical setting. 