Follow up exam for patient with Sturge Weber syndrome. There is redemonstration of mild focal right frontal lobe volume loss and diffusely prominent leptomeningeal enhancement, but deficiency of overlying cortical veins. There are associated enlarged medullary and deep veins in the right frontal lobe and a dilated striate vein. There are a few scattered foci of nonspecific T2 hyperintensity in the white matter of the bilateral cerebral hemispheres. The ventricles are unchanged in size and configuration. There is a partially empty sella. There is no evidence of acute cerebral infarction of hemorrhage. There is no midline shift. The skull and orbits appear unremarkable.
Unchanged stigmata of Sturge Weber syndrome, predominantly involving the right frontal lobe.