35-year-old male experiencing headache, history of AML status post stem cell transplant, recently hit in the face. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Redemonstrated is encephalomalacia in the right occipital lobe with predominantly gyriform areas of susceptibility effect, and ex vacuo dilatation of the right occipital horn. Also redemonstrated is mild encephalomalacia in the left occipital lobe. There are also a few scattered foci of susceptibility effect within the cerebral hemispheres and left cerebellar hemisphere, which are nonspecific, but may represent chronic microhemorrhages. There is no evidence of abnormal intracranial enhancement or acute infarction. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are unremarkable.
Stable bilateral occipital lobe encephalomalacia, right greater than left, but no evidence of intracranial mass or leptomeningeal disease.