Frequent headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered punctate foci of T2 hyperintensity in the cerebral white matter, particularly in the bilateral frontal subcortical regions. There is mild ossification along the anterior falx cerebri. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is asymmetric fatty marrow of the right petrous apex.
Scattered punctate foci of T2 hyperintensity in the cerebral white matter, particularly in the bilateral frontal subcortical regions, are nonspecific, but can be associated with migraines, for example. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.