Re-evaluate suspected ischemic changes in occipital area: migraine. The subcentimeter non-enhancing T2 hyperintense cortical and subcortical lesion in the right superior parietal lobule appears slightly smaller. There is no evidence of intracranial hemorrhage, mass-effect, or acute infarct. The occipital lobes appear to be intact. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
The tiny cortical and subcortical lesion in the right superior parietal lobule has slightly decreased in size and may once again represent a prior ischemic event, but is otherwise nonspecific. The occipital lobes appear to be intact.