Female, 59 years old, with Horner's, dysphagia, and headaches. A few scattered small foci of T2 hyperintensity are demonstrated within the cerebral hemispheres. Small bilateral foci of T2 hyperintensity are also seen within the medulla at the level of the medullary olives which, although not mentioned on prior examinations, have been present since at least 2009.No new lesions are detected. No evidence of restricted diffusion, parenchymal edema or mass effect is seen. No intracranial hemorrhage is suspected. Ventricles remain normal in size and shape.Anterior cervical fusion instrumentation is partial visualized. The marrow signal characteristics are otherwise unremarkable. Atrophy or absence of the right parotid is a stable finding.
No significant interval change is seen in several scattered nonspecific foci of T2 hyperintensity in the brain, including two foci at the level of the medullary olives which, although not mentioned on prior examinations, have been present since at least 2009.