 No evidence of acute ischemia or hemorrhage. Encephalomalacia of left occipital lobe and left medial temporal lobe compatible with prior infarct. There is also focal T2/FLAIR hyperintensity along the posterior left cerebellum with hemosiderin deposition, new from prior study but chronic and nonenhancing. This lesion is linear in appearance and does not have the appearance of a mass. Stable signal abnormalities in the subcortical and periventricular white matter compatible with chronic small vessel ischemic disease. 3-D T1 post contrast images are limited by motion artifact but no definite abnormal brain enhancement is identified. No evidence of mass, mass effect, or hydrocephalus. Major intracranial vessels with flow voids. Paranasal sinuses and mastoid air cells are clear. Bilateral orbits are unremarkable. Diffuse nonspecific heterogeneity of the bone marrow signal, stable from prior study.
1.No acute intracranial abnormality.2.Evidence of prior left temporooccipital lobe infarct, with interval small area of gliosis in the left posterior cerebellum with trace hemosiderin deposition suggesting prior hemorrhage.3.No definite evidence of intracranial metastasis.