 There is T1 and T2 linear hypointensity within the left precentral gyrus and precentral sulcus most compatible with chronic blood products as well as a small focus of T2 hyperintensity within the adjacent left superior frontal gyrus most compatible with gliosis. There is no evidence of acute infarct. There are a few scattered punctate foci of T2 hyperintensity within the supratentorial white matter that are most compatible with chronic small vessel ischemic disease. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is a prominent cisterna magna. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are unremarkable. There is minimal fluid within left mastoid air cells.
1.Findings most compatible with chronic blood products and minimal adjacent gliosis centered within the left pre-central and superior frontal gyri given the history of prior hemorrhage. 2.Minimal nonspecific fluid within left mastoid air cells.