 There is mild motion degradation of some sequences, limiting evaluation. There is no suspicious intracranial enhancement, acute infarct, mass, or cerebral edema. There is a single new punctate focus of susceptibility effect in the left anterior temporal lobe. There is an unchanged developmental venous anomaly in the medial superior right parietal lobe. There are nonspecific periventricular and subcortical white matter T2 signal abnormalities, likely representing chronic microvascular ischemic changes. There is progressive age-related sulcal prominence from 2010. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
Single punctate foci of susceptibility effect in the left anterior temporal lobe which is nonspecific, probably representing remote microhemorrhage, new from the prior MRI from 2010. No evidence of intracranial metastases.