Post-concussion syndrome, mild TBI. There are three tiny foci of susceptibility effect in the bilateral frontal lobes, best seen on series 801 images 134 on the right, image 95 on the right, and image 106 on the left compatible with chronic microhemorrhages. No surrounding edema. No lesions within the corpus callosum or brainstem are demonstrated. No findings to suggest traumatic encephalomalacia. No intracranial mass or mass effect. No evidence of acute ischemia or acute hemorrhage. Brain parenchyma is otherwise unremarkable. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.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. Three punctate foci of susceptibility effect consistent with chronic microhemorrhages in the bilateral frontal lobes. These lesions, while nonspecific, are compatible with given history of prior traumatic brain injury.2. Brain parenchyma is otherwise unremarkable. No intracranial mass or mass effect. No evidence of traumatic encephalomalacia.