 There is an unchanged enhancing 9 mm lesion within the right centrum semiovale with unchanged surrounding T2 hyperintensity and unchanged susceptibility effect. There are no new lesions identified. There is no evidence of acute infarct. There are scattered unchanged punctate foci of T2 hyperintensity within the supratentorial white matter and brainstem that are most compatible with chronic small vessel ischemic disease. There is an unchanged punctate chronic infarct within the right cerebellar hemisphere. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable. There is fluid within the right mastoid air cells. There are bilateral lens implants. The partially imaged degenerative changes of the upper cervical spine are not well assessed on this exam.
Unchanged treated right frontal lobe metastasis. No new lesion. Reidentified fluid within the right mastoid air cells, a nonspecific finding.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.