Headache, rule out structural cause. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. Few scattered foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Partial empty sella incidentally noted. Bilateral orbits are unremarkable. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
MRI of the brain is essentially within normal limits for age. There are a few scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter which are nonspecific. Partially empty sella is also seen which is usually an incidental finding but can be seen with intracranial hypertension in the appropriate clinical setting.