 There is a small focal area of encephalomalacia with thin linear marginal high T2 signal in the left superior frontal gyrus posteriorly at the junction of the left precentral gyrus. There is a punctate nonspecific focus of high T2 signal in the left middle frontal gyrus. There is no evidence of heterotopic gray matter or hippocampal volume loss. There is no evidence of acute infarct, mass effect, herniation, or midline shift. The ventricles are within normal limits. There is no hydrocephalus. There are retained secretions within the left petrous apex. There are secretions within the left anterior ethmoid air cells. There appear to be mildly prominent nonspecific lymph nodes in the partially-imaged upper cervical spine.
Small area of chronic infarction in the left superior frontal gyrus posteriorly, at the junction with the left precentral gyrus.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.