64-year-old male with cranial nerve III palsy. There is no evidence of intracranial hemorrhage, mass, or edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or mass effect. There is no diffusion abnormality to suggest acute ischemia. There is an unchanged punctate focus of susceptibility effect. There is a new small focus of susceptibility artifact just above the left cerebellar peduncle and 2 punctate foci in the left parietal lobe. Normal flow-voids are demonstrated in the major intracranial vascular structures. The paranasal sinuses and mastoid air cells are unremarkable. There are bilateral lens replacements. The orbits are otherwise unremarkable. There is a subcentimeter nodule in the right occipital scalp, which may represent an inclusion cyst. There is a posterior disc-osteophyte complex at C3-4, which slightly indents the spinal cord.
1. No evidence of acute ischemia.2. A right pons lesion with susceptibility effect is compatible with a capillary telangectasia, as demonstrated on the prior MRI with contrast. Otherwise, several punctate foci of susceptibility effect elsewhere may represent chronic microhemorrhages.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.