 No evidence of any pathologic parenchymal or extra-axial enhancement is seen. No findings to suggest focal parenchymal edema or mass effect are observed. Ill-defined fairly confluent and symmetric periventricular white matter T2 hyperintensity has become slightly more conspicuous when compared to prior examinations compatible with radiation related changes. Numerous scattered foci of susceptibility are again seen with the largest number clustered in the left parietal-occipital junction and these are unchanged. No acute intracranial hemorrhage or any abnormal extra-axial fluid collections are observed. The ventricles are stable in size and morphology.
No evidence of active or progressive intracranial metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.