Clinical question: Evaluate for lesion. Signs and symptoms: Seizures. Nonenhanced CT of brain:Large area of right cerebellar encephalomalacia is again identified as was noted on prior MRI examinations.Focal area of encephalomalacia in the left frontal lobe and left basal ganglial is consistent with old stroke and remains stable.There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus.
No evidence of acute new findings since prior study. Multiple areas of encephalomalacia likely old strokes in the right cerebellum and the left frontal lobe/basal ganglia is again identified.