concern for lupus cerebritis, headache No evidence of acute ischemic or hemorrhagic lesion.Re demonstration of the partial right temporal lobectomy (middle and inferior temporal lobe anterior aspect), no change since prior exam.Scattered high signal intensity lesions on bilateral hemisphere on FLAIR images indicating non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. No evidence of acute ischemic or hemorrhagic lesion.2. No change of right temporal partial lobectomy since prior exam.3. Non specific small vessel ischemic lesions.