Reason: history of seizures with fever, please eval for structural abnormality History: complex febrile seizure vs partial seizure with fever No abnormal signal is seen on the diffusion weighted images. Increased periventricular white matter T2 hyperintensity is noted. Small focus of T2 hyperdensity is also noted left parietal lobe subcortical white matter. There is a linear FLAIR signal extending from the white matter to the cortex of the right cerebellar hemisphere not seen on any other MRI sequence. This is nonspecific but a developmental venous anomaly is suspected. This may be better detected on enhanced imaging.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. The midline structures and craniocervical junction are within normal limits. The ventricles are slightly large. The basal cisterns are normal in size and configuration. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular structures.The paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.
1.Abnormal periventricular T2 signal and mild ventriculomegaly is nonspecific and may represent periventricular leukomalacia and less likely an underlying metabolic disease. Correlation with the patient's history is recommended.2.Linear FLAIR signal extending from the white matter to the cortex of the right cerebellar hemisphere is nonspecific but a developmental venous anomaly is suspected. This may be better detected on enhanced imaging.Findings paged to Dr. Cook at 1119 on 3/21/15. 