Brief Answer:
No acute findings.

Detailed Answer:
I read your question carefully and I am sorry about your mother's symptoms.

I read that report carefully. There are some mild changes there but nothing to justify severe headaches. The periventricular ischemic changes are chronic, they have evolved over the years no reason to cause headache, should pay attention to vascular risk factors such as high blood pressure, diabetes, smoking, high cholesterol, obesity if present in order to slow down their progression.

The other finding mild dilatation of the ventricles could also be a normal variation or related to aging with brain volume loss. The MRI doesn't show any lesion to think of hydrocephalus (such as tumor, infection etc). The report suggests to look for intracranial hypertension, but that would have normal or small ventricles usually and optic nerve papillar swelling. To rule that diagnosis out examination of the eye fundi and spinal tap are at times used, but not suggested by MRI.

The other findings such as the cysts might predispose for infections such as sinusitis, that might cause headache.

That is what can be said on the report. If you can give some more info on headache location, type, frequency, duration, evolution in time, accompanying signs (nausea, vomiting, eye lacrimation, visual disturbances, fever etc), tests and medications she's had I might be more helpful.

I remain at your disposal for further questions.

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