26 years Male (DOB:1/25/1990)Reason: looking for parenchymal etiology of seizure today History: seizure 12/21 AMPROVIDER/ATTENDING NAME: JUSTIN P. KLINE The CSF spaces are appropriate for the patient's stated age with no midline shift. Small focus of encephalomalacia is present in the left cuneus. This associated with some susceptibility effect related to hemosiderin deposition. This has not changed since the prior exam. There is an adjacent craniotomy site.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate small mucous retention cyst in the right maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
The examination is stable. There is a small focus of encephalomalacia and prior surgery in the left occipital lobe.