Any subependymal nodules, giant cell astrocytomas? Tuberous sclerosis. Asymptomatic. There is a punctate focus of susceptibly effect at the right caudothalamic groove. There is are multiple scattered areas of cortical and subcortical white matter T2 hyperintensity in the bilateral cerebral hemisphere. There is no evidence of acute intracranial hemorrhage or cerebral infarct.The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are diffuse left tympanomastoid effusions. There is mild bilateral maxillary sinus mucosal thickening.
1. Stigmata of tuberous sclerosis complex with what may represent a punctate subependymal nodule in the right caudothalamic groove and multiple areas of focal cortical dysplasia. 2. Left tympanomastoid effusions may represent mastoiditis.