History of endometrial cancer with frequent headaches. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. Grossly unchanged approximately 5 mm left distal vertebral artery aneurysm.Sella and orbits are grossly within normal limits. Evidence of intraocular lens replacement. There are scattered subcentimeter paranasal sinus mucus retention cysts. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of intracranial metastatic disease. 2. Grossly unchanged approximately 5 mm left distal vertebral artery aneurysm which can be better assessed with follow-up MRA studies. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.