Relapsed AML, evolving HA. There are postoperative findings related to right parieto-occipital craniotomy. There are unchanged scattered punctate foci of supratentorial and infratentorial susceptibility effect. There is no evidence of mass or acute infarct. There is no abnormal intracranial enhancement. The ventricles and sulci are unchanged in appearance. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits and paranasal sinuses are grossly unremarkable. There is diffuse low T1 signal in the bone marrow.
1. The unchanged scattered punctate foci of supratentorial and infratentorial susceptibility effect are nonspecific. Otherwise, no evidence of intracranial metastases.2. The diffuse bone marrow signal abnormality may be related to leukemia. 