Diagnosis: Unspecified convulsionsClinical question: Compare to previous MRI, any change?Signs and Symptoms: Break through seizures (R arm tingling/pain, eyes rolling back, R arm shaking) The CSF spaces are appropriate for the patient's stated age with no midline shift. A focus of encephalomalacia is redemonstrated along the left postcentral gyrus.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate mucosal thickening.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.A focus of encephalomalacia is redemonstrated along the left postcentral gyrus. This is stable compared to the prior exam