 No diffusion-weighted abnormalities are identified. No evidence of intracranial hemorrhage. There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. There are no extraaxial fluid collections. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are unremarkable. The orbits are intact. There is no abnormal enhancement within the brain. Focal left occipital calvarial T1 and T2 hyperintensity that is nonenhancing, likely representing focal fat deposit.
No evidence of intracranial metastasis.