Enlarged perivascular spaces Case 1Case 2Case 3Case 4 A cluster of T2-hyperintense lesions centred on the right cingulum fully suppressed on FLAIR and had no surrounding parenchymal signal change. There is an enlarged perivascular space (T2-hyperintense and fully suppressing on FLAIR) in a typical location; in the subganglionic region. Both T2-weighted, time-of-flight angiography and post-gadolinium T1-weighted imaging showed the vessel traversing the perivascular space. Incidental finding of a clustered subcortical CSF signal without mass effect was consistent with enlarged perivascular spaces. With no FLAIR hyperintensity, an MVNT was not likely. An incidental enlarged perivascular space in the left subganglionic region. The transiting artery is seens as a flow void on T2-weighted imaging.