There is an ill-defined encephalomalacic/CSF density area that involves the grey-white matter (with loss of their differentiation) of the left temporoparietal region and ex vacuo dilatation of the left lateral ventricle, suggestive of chronic infarction due to the most likely previous ischaemic insult. No definite intra-axial bleed is seen.
No definite mid-line shift is appreciated. The posterior fossa appears unremarkable.