36-year-old with sarcoidosis and headaches. Evaluate for progression of abnormalities. The subtle cortical FLAIR abnormality questioned on the exam from 7/24/2013 is not identifiable on the current exam and was also not seen on the most recent previous study.There are one or 2 punctate foci of T2 hyperintensity within the inferior frontal lobes as on the previous exam and a new punctate T2 hyperintensity within the right parietal lobe. There is no associated mass effect, susceptibility artifact or enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal parenchymal or extra-axial enhancement. Although this is a nondedicated exam, the optic nerves appear unremarkable.The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Several punctate subcortical white matter lesions are nonspecific, one new focus is seen in the right parietal lobe. 2.The subtle cortical FLAIR abnormality questioned on the exam from 7/2013 is again not identifiable on today's exam. The abnormality may have resolved or the finding may have been related to imaging artifact.