 A nonspecific area T2 and FLAIR hyperintensity is again seen in the white matter of the inferior frontal lobe. There is no diffusion abnormality to suspect acute stroke. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or enhancement. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures on noncontrast images. The midline structures and craniocervical junction are within normal limits. Bone marrow signal is heterogenous and nonspecific; finding may be related to history of leukemia.
No specific findings to explain patient's symptoms. No evidence of infarct, intracranial mass, or abnormal enhancement. No focal lesions in the cerebellum or disproportionate volume loss.