 There are multiple scattered punctate foci of T2 hyperintensity in the cerebral white matter, which appear to be unchanged. There is no evidence of acute infarction or abnormal intracranial enhancement. There is no evidence of intracranial mass lesions either. The ventricles and sulci are unchanged is size and configuration. There is no midline shift or mass effect. There is an unchanged enhancing lesion in the left aspect of the clivus, measuring up to approximately 12 mm.
1. Multiple scattered punctate foci of T2 hyperintensity in the cerebral white matter, which appear to be unchanged, may represent chronic small vessel ischemic disease, but no evidence of acute infarction.2. Unchanged nonspecific enhancing osseous lesion of the left aspect of the clivus.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.