 There is no abnormal intracerebral enhancement to suggest metastatic disease. There is an enhancement in the right side of the soft palate extended to the right side of oropharynx due to post surgical changes. No significant interval change since prior Neck CT scan performed on Sep 4 2015.There is chronic infarction of the right middle frontal gyrus and the left superior parietal lobe. There are foci of T2/FLAIR hyperintensities in the subcortical and the periventricular white matter, which are nonspecific, but most likely consistent with chronic small vessel ischemic changes. There is no susceptibility or diffusion abnormalities.There is age related volume loss. The ventricles and the sulci are prominent. There is no midline shift. Basal cisterns are patent.Fluid is seen in the right mastoid air cells.
1. There is no intracerebral metastatic lesions.2.There is chronic infarction of the right middle frontal gyrus and the left superior parietal lobe. 3. Chronic small vessel ischemic changes. 4. Age-related volume loss.