2 yo female with seizure, abnormal EEG. There is no restricted diffusion to suggest acute ischemia. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. There is a focus of susceptibility suspected within the right cerebellar hemisphere. Brain parenchyma appears otherwise unremarkable for age. The hippocampi are grossly symmetric and similar in intensity. The myelination pattern appears normal for age. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
1.No intracranial mass or structural lesion to suggest seizure focus is identified. If there is continued suspicion for a structural etiology, dedicated MRI with epilepsy protocol may be obtained.2.Focus of susceptibility effect within the right cerebellum favored to represent a punctate chronic microhemorrhage.