Intractable complex partial seizures. And focal right frontal lesion or dictation. Only an isotropic axial T1 postcontrast sequence was obtained through the brain as per the request of the ordering service.Extensive leptomeningeal contrast enhancement in the right cerebral hemisphere, and to a lesser degree the left cerebral hemisphere, appears more prominent when compared to the previous examination but this may relate to differences in imaging technique. Right cerebral volume loss has not significantly changed. The choroid plexuses are enlarged, especially on the left side. Multiple prominent venous anomalies are redemonstrated. One in particular which receives venous drainage from the right temporal lobe, basal ganglia and frontal lobe, appears more prominent than on the prior examination and drains to a large right basal vein of Rosenthal.Contrast enhancement involving the skin and underlying soft tissues in the left upper face and in the left parietal scalp region may represent port wine staining. The examination is limited otherwise.
1.Limited post contrast examination was performed, for procedure planning.2.Bilateral pial angiomatosis and cortical atrophy, compatible with diagnosis of Sturge-Weber syndrome.