Clinical question: Rule out structural lesions. Signs and symptoms: Seizure. Nonenhanced brain MRI:Negative diffusion weighted series.Examination demonstrates 2 small foci of cortical FLAIR hyperintensity (likely encephalomalacia) with minimal subcortical white matter involvement in the right anterior frontal lobe. There is no evidence of hemorrhagic changes with this finding.Additionally minimal periventricular FLAIR hyperintensity which is a nonspecific finding however could represent minimal chronic small vessel ischemic stroke. The anatomical morphology and signal intensity of brain parenchyma is otherwise within normal on all MRI sequences. Unremarkable cerebral cortex, cortical sulci, ventricular system and brain myelination otherwise.Signal void of major intracranial arterial branches are identified.Signal intensity of intracranial venous sinuses is within normal.Unremarkable calvarium, soft tissues of the scalp, orbits, paranasal sinuses and mastoid air cells.
1.Negative diffusion weighted images.2.2 small foci of encephalomalacia involving the cortex and subcortical white matter of right anterior frontal lobe which are nonspecific. 3.Findings suggestive of minimal chronic nonhemorrhagic small vessel ischemic strokes. Unremarkable nonenhanced brain MRI otherwise.4.There are no prior exams for comparison however if such studies are available and provided to radiology department an addendum to this report will be submitted after review.