Language delay, localization related epilepsy, but normal EEG. There is a submillimeter nodular focus in the mid frontal scalp, with linear extension to the underlying calvarium. There is no evidence of intracranial hemorrhage, mass, or infarct. The brain parenchyma, brainstem, and cerebellum appear unremarkable. There is an appropriate degree of white matter myelination. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable.
A submillimeter nodular focus in the mid frontal scalp, with linear extension to the underlying calvarium may represent an atretic encephalocele or related entity, for which ultrasound may provide further characterization. Otherwise, no evidence of potential seizure foci.