Reason: sp seizures, r/o intracranial pathologies History: seizures The CSF spaces are appropriate for the patient's stated age with no midline shift. On the flair and T2 MR imaging there is signal hyperintensity present along the cortex at the level of the pre-cuneus and cuneus bilaterally as well as to a lesser degree in the frontal lobes bilaterally at the junction of superior and middle frontal gyri and along the right posterior temporal lobe. There is no associated diffusion restriction.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.Lesions in the cuneus, precuneus and frontal lobes bilaterally are suggestive of posterior reversible encephalopathy syndrome.