 There are nonspecific scattered foci of FLAIR signal superficially in the frontal lobe (series 4, images 8, 10, and 11) with the one in the left middle frontal gyrus more prominent compared to previous examination and the one in the left precentral gyrus new from previous exam. No abnormal enhancement within the brain parenchyma. No masses, mass effect, or midline shift. No evidence of acute intracranial hemorrhage. No extra-axial fluid collections or hematomas. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
1.No evidence of acute intracranial enhancing mass.2.Small lesions in the left precentral gyrus and left middle frontal gyrus are most likely vascular related. The left middle frontal gyrus lesion is suspected to have been present in 2005 whereas the left precentral gyrus lesion is new. 