EXAMINATION: MRI OF THE BRAIN WITHOUT AND WITH CONTRAST
HISTORY: Chronic daily headaches since January
COMPARISON: None available
CONTRAST:MultiHance. 13 milliliterer
TECHNIQUE: MRI of the brain was performed. Multiplanar images of the brain were
performed using T1 and T2-weighted sequences. Images were performed prior to
and after the intravenous infusion of contrast.
The images demonstrate that there is no evidence of intracranial hemorrhages,
mass-effects, or space-occupying masses. The brain parenchyma is normal without
evidence of atrophy.
There are punctate and confluences of white matter lesions in the bilateral
corona radiata and the bilateral centrum semiovale and also involving the
bilateral optic radiation tracks, left greater than right, compatible with
moderate small vessel disease. The lateral, third, and fourth ventricles are
normal in size.
The premedullary, pre-pontine, and suprasellar cisterns are within normal
limits. The pituitary and cerebellar tonsils are appropriate in size and
The visualized globes, extraocular muscles, intraconal fat and optic nerves are
within normal limits. The visualized paranasal sinuses and mastoid air cells
The visualized bony calvarium is intact. The visualized nasopharynx and parotid
are normal in size. Normal flow void is identified in the basilar, internal
carotids and cerebral vessels.
The postcontrast images demonstrate no evidence of enhancing masses or
1. No evidence of intracranial hemorrhages, mass-effects, or space-occupying
2. Moderate white matter changes in the bilateral corona radiata and the
bilateral optic radiation tracts, compatible with small vessel disease.