 There are no areas of abnormal signal or pathological enhancement. There are scattered punctate foci and confluent areas of T2 hyperintensity within the periventricular and subcortical white matter. There is also a punctate focus of T2 hyperintense signal within the right basal ganglia, which may represent a chronic lacunar infarct or prominent perivascular space in addition to other bilateral basal ganglia enlarged perivascular spaces. There is no midline shift or mass effect. The ventricles and cortical sulci are prominent consistent with moderate volume loss. There is susceptibility effects related to a dural based calcified lesion measuring up to 1.1 cm along the right lateral frontal convexity. There are bilateral mastoid effusions.
1. No evidence of intracranial metastases.2. Nonspecific cerebral white matter signal abnormality may represent treatment effects, perhaps superimposed upon chronic small vessel ischemic disease. 3. A small calcified dural based lesion along the right frontal convexity may represent a meningioma or perhaps an osteoma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.