AMS. There is no evidence of acute intracranial hemorrhage or infarct. There are scattered areas of T2 hyperintensity in the cerebral white matter, which are nonspecific. There are multiple unchanged punctate foci of susceptibility effect in the bilateral cerebral hemispheres. There is no evidence of acute infarction. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable. There are bilateral lens implants. CERVICAL SPINE
1. Multiple unchanged punctate foci of susceptibility effect in the bilateral cerebral hemispheres appear to correspond to treated metastases. However, assessment for metastatic disease is otherwise limited due to the lack of intravenous contrast.2. Multilevel degenerative spondylosis of the cervical spine and signal abnormality in the dens, which is otherwise incompletely characterized, but may be inflammatory in nature. However, assessment for metastatic disease is otherwise limited due to the lack of intravenous contrast.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.