MRI of the brain
My wife who is 48 started experiensing sharp stabbing pain at the top of the left side of her head. She went to see a neurologist who ordered an MRI and here are the results. Can anyone help further interprit these findings. Any help is very much appreciated.
She has never suffered from migrains.
Technique: MRI of the brain was performed without intrvenous contrast. Multiplanar, multisequential images were obtained.
Findings: Brain volume is age appropriate. The ventricles and basal cisterns are patent. No mass, mass effect, or midline shift identified. Negative for extra-axial fluid collection. Tiny nonspecific focus of T2 / FLAIR signal abnormality in the subcortical white matter of the left frontal lobe. Several other smaller lesions are suspected on the sagital FLAIR images in the left frontal lobe. Negative for extra-axial fluid collection. No restricted diffusion identified intracranially.
Normal intrcranial flow voids. Mastoid air cells and paranasal cinuses clear. Visualized orbits unremarkable. Extracranial soft tissues within normal limits. Cerebellar tonsils in normal position. Calvarial signal within normal limits.
1. Tiny nonspecific foci of T2 signal abnormality in the left frontal lobe white matter. These are favored to represent the sequelae of chronic microvascular ischemic change.
2. Otherwise negative unenhanced MRI of the brain for age.