79 years Male (DOB:2/28/1937)Reason: Assess for foci for seizures and r/o structural brain disease History: Seizure, AMSPROVIDER/ATTENDING NAME: CORY S HENDERSON EHTASHAM G KHATTAK The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a minimal degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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. There is fetal origin of the posterior cerebral arteries bilaterally.The visualized portions of the paranasal sinuses are clear. There is osseous proliferation the floor of the left maxillary sinus. No associated contrast enhancement. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The right eye lens is thin
1.There is no evidence for acute cerebral ischemic infarction.2.There is no evidence for intracranial mass lesion to explain patient's seizures.3.Bony proliferation at the floor of the left maxillary sinus is nonspecific possibilities may include reaction to a prior injury or inflammation/infection. Please correlate with clinical history.4.Periventricular and subcortical white matter lesions of a minimal/mild degree are nonspecific. At this age they are most likely vascular related. 