 There is no evidence of any pathologic parenchymal or extra-axial enhancement. No findings to suggest focal parenchymal edema or mass effect are observed. Ill-defined fairly confluent and symmetric periventricular white matter T2 hyperintensity is again noted most compatible with radiation related changes, although there could be superimposed chronic small vessel ischemic disease.Numerous scattered foci of susceptibility are again seen with the largest number clustered in the left parietal-occipital junction and these are unchanged. No acute intracranial hemorrhage or any abnormal extra-axial fluid collections are observed. The ventricles are stable in size and morphology.
No evidence of active or progressive intracranial metastatic disease.