 There is no evidence of leptomeningeal mass lesions or abnormal enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a subcentimeter defect in the left basal ganglia. There is also mild scattered cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are grossly intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are posterior disc-osteophyte complexes in the upper cervical spine with a certain degree of spinal canal stenosis.
1. There is no evidence of leptomeningeal carcinomatosis or other forms of intracranial metastases.2. Chronic left basal ganglia lacunar infarct and mild probable chronic small vessel ischemic disease. 3. Posterior disc-osteophyte complexes in the upper cervical spine with a certain degree of spinal canal stenosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.