SLE patient with persistent frontal headache, history of minor trauma 3 weeks ago. Mild global parenchymal volume loss is again seen with prominence of the extra-axial CSF spaces throughout and remains unchanged. No restricted diffusion to suggest acute ischemia. No acute intracranial hemorrhage. There is tiny focus of susceptibility in the left frontal lobe periventricular white matter which remains unchanged and corresponds to calcification seen on prior CT. Possible small adjacent developmental venous anomaly in the left frontal lobe. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Brain parenchyma is otherwise unremarkable for age. Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of acute intracranial hemorrhage, infarct, mass, or mass effect.2. Punctate calcification in the left frontal lobe is unchanged since at least 2010 and and is nonspecific in etiology.3. Unchanged mild global parenchymal volume loss.