New onset diplopia and memory loss, SLE patient. There is no evidence of intracranial hemorrhage or acute infarct. The brain parenchyma appears unremarkable. There is an unchanged small linear area of encephalomalacia in the right cerebellar hemisphere. There is unchanged apparent linear enhancement along the planum sphenoidale. The ventricles, sulci, and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable. There is an unchanged enhancing focus in the right parietal bone. There is a small left sphenoid sinus rentention cyst.
1. CHronic lacunar infarct in the right cerebellar hemisphere, but no evidence of intracranial hemorrhage or acute infarct. 2. The unchanged apparent linear enhancement along the planum sphenoidale is likely related to artifact.3. Unchanged enhancing focus in the right parietal bone.