44-year-old male with new onset seizure. Evaluate for stroke, edema. There is an area of hypodensity in the right frontal subcortical region that may represent edema or encephalomalacia. This could be related to old ischemic change. However, an MRI is recommended for further evaluation. The ventricles and sulci are mildly prominent, which may represent volume loss considering the patient's age. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Right frontal subcortical hypodensity may represent edema or encephalomalacia. This could be related to old ischemic change. However, an MRI is recommended for further evaluation.