History of renal transplant and disseminated nocardia, follow-up examination. Redemonstration of multiple lesions with surrounding edema throughout both cerebral hemispheres. Interval increase in edema involving the left occipital, left parietal and right temporal lesions. These lesions again demonstrate diffusion restriction. There is been interval resolution of multiple T2/FLAIR hyperintense foci involving the right thalamus, and the right cerebellum. The remainder of the lesions appear similar to prior exam. No new lesions are identified.Few of the lesions again demonstrate minimal susceptibility artifact, but no significant intracranial hemorrhage. T2 hyperintense signal in the posterior medulla and pons appear similar to prior exam and remains of uncertain etiology. Ventricles are normal in size and stable.
Redemonstration of multiple lesions within both cerebral hemispheres, with a mixed response as described above.