Re-evaluate abnormal T2/Flair signal in the white matter. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Redemonstrated are multiple scattered foci of non-enhancing T2 hyperintensity in the bilateral cerebral periventricular and subcortical white matter, which are grossly unchanged since 2013, accounting for differences in technique. A previously demonstrated enhancing focus adjacent to the right anterior clinoid process is compatible with mildly prominent venous structures and is unchanged. 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 fluid within the right mastoid air cells.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Multiple scattered T2 hyperintensity in the bilateral cerebral hemispheres are nonspecific and appear to be unchanged since 2013.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.