26 years Female (DOB:8/5/1990)Reason: seizure focus? History: seizurePROVIDER/ATTENDING NAME: SHASHA WU SHASHA WU The CSF spaces are appropriate for the patient's stated age with no midline shift. There is T2 and FLAIR signal hyperintensity associated with the loss of volume along the junction of the body and the splenium of the corpus callosum. Additional T2 and FLAIR hyperintense foci are present along the colossal cingulate junction along the body of the corpus callosum.There is a 4 mm focus of signal loss associated with susceptibility effect which is a ringlike pattern on T2 imaging along the junction of the head and body of the caudate nucleus on the right side.No abnormal 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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is loss of volume present along the corpus callosum at the body of the corpus callosum extending to the splenium consistent with encephalomalacia. In isolation these are nonspecific. These lesions are nonspecific. Please correlate with patient's prior clinical history including possible history of prior trauma, inflammatory process and ischemic event.2.Is a hemorrhagic lesion present right caudate nucleus adjacent to the right lateral ventricle. Differential considerations include cerebral cavernous malformation though it is too small to characterize and may represent some other than the cerebral cavernous malformation. Contrast-enhanced exam may be helpful in further characterizing this lesion and exclude the possibility of associated lesions not visible on this exam. If the patient has a known history of a primary neoplasm elsewhere the possibility of metastasis cannot be excluded.