Possible stroke, possible seizure. No restricted diffusion to suggest acute ischemia. Again seen are multiple areas of encephalomalacia in the brain, relatively largest in the left parietal lobe with additional areas including the bilateral left greater than right posterior temporal and occipital lobes. There is also prior infarct involving the right frontal lobe. These infarcts involve the cortex as well as the subcortical white matter. No intracranial mass or mass-effect. There is ex vacuo dilatation involving the atrium of the left lateral ventricle. There is no hydrocephalus. No extra-axial collections. There is global parenchymal volume loss, which is advanced for age. Small lacunar infarcts involving the bilateral cerebellar hemispheres also noted. Major flow-voids are preserved. Right globe staphyloma. Mild mucosal thickening involving the paranasal sinuses.
1. No evidence of acute ischemia. No intracranial mass or mass-effect.2. Multiple chronic bilateral cortical infarcts as detailed above which may be contributing to the seizures.