findings visualized are areas of signal abnormality involving the subcortical white matter of the middle left frontal loba, anterior right frontal, posterior right frontal, right frontal loba near the sylvian fissure, the biqarietal lobes, and occipital lobe which is without sighificant change. a few scattered areas of signalabnormality are also seen within the supratentorial and paraventricual white matter. a few of the punctate areas of increased signal abnormality within the periventricular and deep supratentorial white matter appear to have increased since the prior examination. focal lobulated hypointense lesion is seen within the right parietal occipital lobe measuring 7 to 8 mm in size and demonstrates some peripheral hyperintensity and stable in appearance and likly represents a small cavernoma. some minimal hyperintensity is also seen within the pons. no cereballar abnormality is noted. the ventricles are symmertric and nondilated. the cisterns are patent. the major intracranial vessels dermonstrate nomal flow voids. the visuallized paranasal sinuses and mastoid air cells are well aerated without opacification. again seen is a small hyperintense lesion wiyhin the left parietal bone which is stable and likly benign in etionlogy. the corpus chiansm, optic chiasm, pitutitary gland, clivus and cervicomeduallary junction are normal in appearance.
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