 There is no suspicious intracranial enhancement. There is no acute infarct, mass effect or midline shift. There are scattered T2 signal abnormalities in the periventricular and subcortical white matter, nonspecific. There is no extra-axial fluid collection. The flow voids at the skull base are intact. There is mild retroflexion of the tip of the dens causing mild effacement of the ventral CSF space without significant stenosis of the lower brainstem/upper cervical cord. There is a left lens implant.
No evidence of intracranial metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.