73-year-old female patient with history of recurrent inflammatory lesions of the brain. Reevaluate inflammatory lesions. There are stable postbiopsy findings in the left cerebellum with residual susceptibility artifact in the left cerebellar hemisphere. Additionally, there is residual mild high T2 signal in the left pons and pontomedullary junction region. There is an unchanged punctate focus of enhancement within the left pons with associated susceptibility artifact. Minimal periventricular T2 hyperintensity is unchanged and may represent chronic small vessel ischemic disease. There is no evidence of acute intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is fluid within the paranasal sinuses with air-fluid levels. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. Stable postbiopsy findings in the cerebellum without evidence of new inflammatory intracranial lesions.2. An unchanged punctate left pontine lesion may represent an underlying vascular malformation, such as a telangectasia, versus sequela of a treated inflammatory lesion.3. Air-fluid levels in the paranasal sinuses is suggestive of acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.