 There are scattered patchy T2/FLAIR hyperintensities in the periventricular and subcortical white matter, in the pons, and in the left cerebellum, suggestive of chronic small vessel ischemic findings, stable since previous study. There is no diffusion abnormality. A punctate dark susceptibility signal is seen in the right basal ganglia suggestive of previous microhemorrhage, stable since previous study. Ventricular size is normal with no midline shift. Basal cisterns are again. No abnormal enhancement.
No evidence of intracranial metastatic lesions.