Nystagmus and fasciculation. There is no evidence of intracranial mass, infarct, or hemorrhage. There are a few scattered foci of T2/FLAIR hyperintensity in the white matter. A relatively more prominent 7 mm focus involves the lateral left precentral gyrus and without associated mass effect or enhancement. Brain parenchyma is otherwise unremarkable. No abnormal enhancement. Ventricles are normal in size. Cavum septum pellucidum and cavum vergae incidentally noted. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the paranasal sinuses which is nonspecific.
There are a few scattered foci of T2/FLAIR hyperintensity in the white matter, including a relatively more prominent one in the left frontal lobe measuring up to 7 mm. These foci are very nonspecific and may be related to, for example, prior inflammation, infection, or less likely demyelination. Brain parenchyma is otherwise unremarkable. Specifically, no lesion within the posterior fossa is appreciated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.