Acute lymphoid leukemia. Headache. No intracranial mass or mass effect. No evidence of acute infarct or hemorrhage. Few scattered T2 hyperintense foci are present in the periventricular and deep frontal white matter, particularly in the right posterior frontal corona radiata, which are nonspecific and may reflect mild chronic microvascular ischemia or post treatment changes. There is no intracranial hemorrhage. Mild global parenchymal volume loss. No hydrocephalus. Major intracranial vascular flow voids are preserved.There is no gross orbital abnormality. Mastoid air cells are clear. There is moderate mucosal thickening in the right ethmoid sinuses. The other paranasal sinuses are clear. There is diffuse heterogeneity of the bone marrow which may be related to known leukemia. No large destructive lesions are appreciated.
1.No evidence of intracranial mass or mass effect. Few scattered foci of T2/FLAIR hyperintensity in the white matter are nonspecific and compatible with mild chronic small vessel ischemic changes and/or posttreatment related changes. 2.Please note lack of contrast slightly limits evaluation for leptomeningeal disease.3.Diffuse heterogeneity of the bone marrow signal which is nonspecific but may be related to known leukemia.4.Moderate opacification involving the right anterior and posterior ethmoid air cells with minimal mucosal thickening elsewhere in the paranasal sinuses.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.