52-year-old female with SLE, twitching/jerking movement around her mouth for a few days with speech. Evaluate for intracranial abnormalities. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal punctate scattered T2 periventricular and subcortical white matter hyperintensities which not significantly changed compared to previous exam. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. 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.
1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.Minimal nonspecific white matter signal abnormality again seen and not significantly changed from previous exam.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.