Clinical question to be answered: Two months old baby boy with sudden cardiac arrest. Recent stroke on MRI, recent seizure activity, check for progression of stroke. Signs and symptoms: Seizures. A well demarcated area of low attenuation in the right posterior temporal region is again identified and with no definitive interval change.A very subtle low-density involving the cortex and subcortical white matter of left posterior temporal and occipital region is suspected. This finding is very subtle and it may also represent an artifactual beam hardening finding. Follow-up with a repeat CT or an MRI is recommended. There is no definitive evidence of any mass effect with this finding. No evidence of any intracranial hemorrhage. Ventricular system and subarachnoid space remains identical to prior study. All CSF cisterns remain widely patent.New since prior examination is thickening of the soft tissues of the scalp on the left side in the posterior parietal region.
1.Stable area of low attenuation in the right posterior temporal lobe since prior study.2.Artifact or a new area of low-attenuation in the left posterior temporal occipital region as detailed. Follow-up with a CT or an MRI is recommended.3.Stable ventricular system and CSF cisterns.4.No evidence of intracranial hemorrhage.5.Edema of left posterior parietal scalp.