 There are punctate foci of susceptibility effect in the right frontal lobe and right cerebellar hemisphere. There is interval resolution of T2 signal abnormality associated with the right cerebellar lesion. There is no abnormal enhancement. There are scattered punctate foci of abnormal T2 hyperintensity within the bifrontal subcortical white matter, which is nonspecific. There is no evidence of acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is a left posterior fossa arachnoid cyst. There is no midline shift or herniation. The skull appears unremarkable. There is a subcentimeter skin excrescence along the right aspect of the nose.
Punctate foci of susceptibility effect in the right frontal lobe and right cerebellar hemisphere are compatible with treated metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.