<s>[INST] I've had a T.B.I., since Feb. 2009. A seizure led to me falling on concrete, and hitting my head (obviously!). I am not epileptic, but I have been having grand mal and petit mals since 2008. This Thurs., my brain M.R.I., came back, stating " a LARGE area of encephalomalacia". How bad does my already dim future look? It's already much bigger than it was in 2011. Thank you. [/INST] Hi,Thank you for posting your query.First of all, I would like to reassure that your current MRI brain findings do not represent any serious brain disease.This finding denotes an area of old injury related to your traumatic brain injury (TBI). This would not lead to any problem other than seizures.So, I would suggest you continue antiepileptic drugs throughout your life. This would ensure that you do not have seizure recurrence in the future.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website:   My blog: </s>