 Redemonstrated are scattered punctate foci of T2 hyperintensity within the white matter and pons without mass effect, restricted diffusion, susceptibility abnormality, or enhancement. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear. There is no abnormal enhancement within the brain. Although there remains stable ill-defined minimal patchy enhancement of the calvarium anteriorly, there is no MRI evidence of recurrent scalp or periorbital nodules. Redemonstrated is the right eye prosthesis.
1.Stable chronic small vessel ischemic disease.2.No abnormal enhancement of brain.3.Although there remains ill-defined minimal patchy enhancement of the calvarium anteriorly (stable over the past 3 comparison MRI exams dating back to 3/12/2014), there is no MRI evidence of recurrent scalp or periorbital nodules. 