 Previously noted abnormal marrow signal and slight osseous expansion involving the body of the sphenoid, planum sphenodale, anterior clinoids, lesser wings of the sphenoids (right greater than left), shows no significant interval change.. Again seen is expansion and patchy enhancement of the clivus, similar in size and morphology compared to prior exam. Two or three scattered nonspecific foci of T2/FLAIR hyperintensity are seen in the cerebral hemispheres, without significant interval change. There is no evidence of intracranial hemorrhage or acute infarct. Stable mild ventricular enlargement and low lying cerebellar tonsils. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
No significant interval change of expansile bony lesions involving the clivus and sphenoid since prior exam, compatible with fibrous dysplasia.