 There is no restricted diffusion to suggest acute ischemic infarction. There is no evidence of acute intracranial hemorrhage. There is a focus of signal abnormality within the right cerebellar hemisphere compatible with a chronic tiny lacunar infarct. Otherwise, there are no areas of abnormal parenchymal signal. There is mild prominence of the ventricles and cortical sulci compatible with mild volume loss. There is no midline shift or herniation. The midline structures and craniocervical junction are within normal limits. There is a small focus of enhancement along the right paramedian planum sphenoidale (series 1202, image 86) measuring 8 mm in the transaxial dimension x 3 mm in the craniocaudal dimension which probably represents a tiny meningioma. The major cerebral flow voids are intact. Mild scattered mucosal thickening is present within the paranasal sinuses. There is a 6 x 12 mm oval lesion within the right parietal skull which demonstrates high T2 signal, intermediate T1 signal, and avid enhancement.
1.No specific evidence of acute ischemic infarction or other acute intracranial abnormality.2.Mild cerebral volume loss which may be related to SLE.3.Tiny chronic lacunar infarct in the right cerebellar hemisphere.4.Probable tiny meningioma along the planum sphenoidale measuring up to 8 mm.5.Nonspecific small right parietal skull lesion, favor benign process such as hemangioma in the absence of known primary malignancy.