Fifteen (15) years since prior surgery and nine (9) years since last MRI study, size progression of the known extra-axial lesion along the anterior aspect of the surgical cavity, abutting the right cerebellar hemisphere, demonstrating T1 isointensity and high T2 and FLAIR hyperintensity with heterogeneous enhancement and mild to moderate restricted diffusion.
Worsened chronic periventricular microvascular ischemic changes.