60 years Female (DOB:5/2/1956)Reason: S/p brain RT. Surveillance exam. History: S/p brain RT. Surveillance exam.PROVIDER/ATTENDING NAME: STEVEN J. CHMURA SERVICES ANCILLARY The CSF spaces are appropriate for the patient's stated age with no midline shift. Punctate focus of enhancement is identified in the right paracentral lobule which is associated with susceptibility effect. It has not changed since the prior.There is a punctate focus of susceptibility effect in the left inferior parietal lobule which is not associated with contrast enhancement. It was also present on the prior exam and is unchangedNormal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Punctate lesion in the right paracentral lobule is stable compared to the prior exam.2.A microhemorrhage is present in the left inferior parietal lobule which is also stable.