Female, 74 years old, with history of aneurysm of the anterior communicating artery status post clipping with worsening memory complaints. Artifact from the patient's ACOM region aneurysm clip is again seen. Mild signal abnormality and encephalomalacia affecting the left anterior temporal lobe, the orbital gyrus and gyrus rectus are unchanged. Scattered additional foci of nonspecific parenchymal FLAIR hyperintensity are unchanged. No edema or mass effect is seen. No diffusion restricting lesions are detected. There is no evidence to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid collection. A focus of susceptibility in the inferior right frontal lobe is unchanged and likely represents chronic microhemorrhage. Ventricular size and morphology are within normal limits. The right central sulcus and postcentral sulcus are more prominent than the left, but this finding is stable. Elsewhere, brain parenchymal volume is preserved.
1.Sequelae of prior surgery for aneurysm clipping are redemonstrated.2.Scattered foci of signal abnormality are unchanged.3.No new or acute findings are seen which would account for the patient's symptoms.