78-year-old female with episodes of speech arrest for 5 hours. Evaluate for metastases from breast cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered periventricular and subcortical white matter T2/FLAIR hyperintensities which is nonspecific and unchanged compared to the previous exam. The brain parenchyma and pituitary gland appear unremarkable. There is a tiny enhancing nodule in the left occipital lobe at the end of the calcarine sulcus which was present on the prior exam, has not significantly changed and remains nonspecific. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No evidence of metastatic disease, intracranial hemorrhage, or acute infarct. 2.Mild unchanged chronic likely small vessel ischemic disease.