 There are numerous punctate foci of susceptibility artifact within the bilateral cerebral and cerebellar hemispheres, left pons and midbrain. There is unchanged T2 hyperintensity associated with a lesion in the left insula. There is no evidence of acute hemorrhage, hydrocephalus, or acute ischemia. The ventricles 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, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No appreciable interval change in the numerous intracranial cavernous malformations. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.