 The skull appears heterogeneous with multiple lesions, which are otherwise incompletely characterized without contrast. There is also an incompletely imaged and characterized left mandibular lesion. There is no mass effect upon the underlying brain parenchyma. There is no evidence of intracranial hemorrhage or acute infarct. There are unchanged minimal nonspecific scattered nonspecific T2 hyperintense foci in the supratentorial white matter. There is chronic right cerebellar infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation.
1. No evidence of intracranial hemorrhage or acute infarct.2. Redemonstration of multiple skull lesions and left mandibular lesions,are incompletely characterized in the absence of contrast, but are compatible with multiple myeloma.