59 years Female (DOB:5/27/1956)Reason: epilepsy workup, please evaluate for subtle contrast enhancing lesions, hippocampal sclerosis etc History: 59yof with 3d of florid UTI symptoms presenting after a first-ever grand mal seizurePROVIDER/ATTENDING NAME: MICHAEL A WARD ADIL J JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several FLAIR and T2 hyperintense punctate foci subcortical white matter of the frontal lobes and left temporal lobe. There are a few punctate foci of signal hyperintensity on T2 and FLAIR MR images in the brainstem.No abnormal enhancing 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 are subcortical and brainstem punctate lesions present which are nonspecific. Most likely these are vascular related.2.No intracranial mass lesions are appreciated.