63-year-old female with cervical cancer and seizures, concern for metastasis. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Scattered punctate foci of increased T2 signal within the periventricular and subcortical white matter, do not appear substantially changed compared from the prior examination, when accounting for differences in acquisition technique. The hippocampi are normal in signal and morphology. There is no abnormal intracranial enhancement. The ventricles and basal cisterns 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.No evidence of intracranial hemorrhage, mass, or acute infarct.2.Grossly stable scattered foci of high T2 signal in the periventricular and subcortical white matter are nonspecific, but may reflect chronic small vessel ischemic disease.3.Normal appearance of the bilateral hippocampi.