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The caudate and lentiform nuclei, particularly on the right, demonstrate high T2 signal, with minor T2 shine through but no convincing abnormal diffusion restriction.
Mild asymmetry in FLAIR signal in the left anterior temporal lobe without mass effect may be related to artifact or the large traversing developmental venous anomaly (DVA) - best seen on coronal T1 C+.
Mild asymmetric susceptibility in the left lentiform nucleus compared to the right. However, the T1 hyperintensity in the left globus pallidus is symmetric. Correlation with the CTB show that there is no calcification.
In the anterior right middle cranial fossa is a durally-based avidly enhancing lesion touching the anterior temporal lobe without adjacent FLAIR hyperintensity consistent with a meningioma.
Scattered foci of periventricular and deep white matter T2 FLAIR high signal most likely reflect sequelae of chronic small vessel ischaemia.