 No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.Subtle thinning of right hippocampus comparing to left side indicating minimal volume loss, unchanged.Diffuse cerebellar volume loss, unchanged.Subtle high signal intensity on the right cerebellar hemisphere superior aspect, unchangedThere is developmental venous anomaly on the right middle temporal gyrusThe ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. 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 evidence of abnormal enhancement.3. Unchanged, minimal volume loss of the right hippocampus, T2/flair high signal intensity lesions on right cerebellar hemisphere superior aspect and diffuse cerebellar volume loss since prior scan.