 The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified. There is unknown susceptibility artifact near the skull base which somewhat limits evaluation of lower intracranial structures, but this appears similar to the previous MRI.There is hypoplastic appearance of the right A1 segment of the anterior cerebral artery which results in asymmetric prominence of the left ICA, likely of no clinical significance. Otherwise, normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.
Normal MRI of the brain. No evidence of metastatic lesions.