 There is no evidence of acute infarction, intracranial hemorrhage, or mass, although the exam is degraded by patient motion. There are unchanged scattered T2 hyperintense foci in the cerebral white matter. There is a punctate focus of encephalomalacia in the inferior left cerebellar hemisphere. There is also unchanged high T2 signal in the left anterior temporal lobe with focal dilatation of the adjacent left anterior temporal horn and mild volume loss including the left hippocampus. There is otherwise mild diffuse cerebral volume loss. There is no midline shift. The major cerebral flow voids are preserved. There is a small retention cyst in the left maxillary sinus.
1. No evidence of acute infarction, intracranial hemorrhage, or mass, although the exam is degraded by patient motion.2. Mild probable chronic small vessel cerebral white matter ischemic disease and a punctate left cerebellar infarct, which appear to be unchanged.3. Unchanged encephalomalacia in the anterior and medial left temporal lobe.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.