Lupus cerebritis: new onset headache. There is no evidence of intracranial hemorrhage or acute infarct. There are unchanged foci of T2 hyperintensity in the left frontal lobe deep white matter. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Unchanged left frontal lobe white matter lesions that may represent chronic manifestations of lupus cerebritis, but no evidence of acute infarct. 2. No significant change in the subcentimeter left frontal convexity extra-axial lesion that may represent a meningioma.