 There is residual subcortical T2 hyperintensity within the occipital lobes bilaterally. There are a few punctate foci of susceptibility effect in the bilateral parietal and occipital lobes as well. There are also unchanged scattered punctate cerebral white matter T2 hyperintensities and a focal defect in the right aspect of the body of the corpus callosum. There is an unchanged configuration of the ventricular system, with prominence of the lateral ventricles, particularly posteriorly, with associated diminished periventricular white matter volume. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The hippocampi are symmetric without abnormal signal. There is no midline shift. There are unchanged minimally low-lying cerebellar tonsils. The major cerebral flow voids are intact. The skull, orbits, and scalp soft tissues are unremarkable. There is mild mucosal thickening in the ethmoid sinuses.
1. Residual stigmata of previous posterior reversible encephalopathy syndrome are unchanged.2. Mild probable chronic small vessel ischemic disease without evidence of acute infarction.3. Unchanged ventriculomegaly with what appears to be colpocephaly.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.