2-year-old male with a history of reported "brain abscess" currently on extended IV antibiotics, evaluate for interval change. Continued improvement of a right temporooccipital intra-axial hemorraghic lesion which continues to decrease in size measuring 12 x 8 mm, previously 17 x 13 mm (series 601, image 22). Previously seen surrounding edema has nearly resolved. No new nodule, mass, or new focus of edema is identified to suggest worsening infection. There is redemonstration of a punctate residual enhancing focus involving the left inferior parietal lobule/posterior superior temporal gyrus. Multiple foci of susceptibility in the bilateral cerebellar hemispheres without corresponding edema or enhancement are unchanged. There is no evidence of acute intracranial hemorrhage or acute infarct. The ventricles and sulci 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. Continued improvement of size of hemorrhagic right temporooccipital lesion.2. Punctate residual enhancing nodule involving the left inferior parietal lobule/posterior superior temporal gyrus is unchanged.3. No new nodule or mass, or new focus of edema to suggest worsening infection.4. Unchanged multiple foci of susceptibility in the bilateral cerebellar hemispheres which may represent chronic microhemorrhages versus mineralization, possibly related to remote infection.