 There is no evidence of acute ischemia or infarction. There is a 5 mm wide extra-axial mass along the right perirolandic convexity without mass effect upon the brain. There may another similar lesion along the left temporal convexity that measures 2 mm in thickness. There is gyriform susceptibility effect in the right precentral sulcus. There are several supratentorial and infratentorial punctate foci of susceptibility effect. There are mild foci of white matter T2 hyperintensity. There is mild parenchymal volume loss. There is a small right maxillary sinus retention cyst. There are bilateral lens implants.
1. Findings consistent with age indeterminate small vessel ischemic disease without evidence of acute infarction.2. Several supratentorial and infratentorial punctate foci of susceptibility effect may represent chronic microhemorrhages, cavernous malformation. 3. Gyriform susceptibility effect in the right precentral sulcus may represent sequela of prior hemorrhage. 4. A 5 mm wide extra-axial mass along the right perirolandic convexity without mass effect upon the brain may represent a meningioma. Follow up with a brain MRI with contrast may be useful, if there are no contraindications.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.