Lupus, seizures, being worked up for infection versus inflammation, presents with echolalia, slowed speech. Some of the sequences are degraded by patient motion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears grossly unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, orbits, and scalp soft tissues are unremarkable. There is scattered paranasal sinus mucosal thickening.
1. No evidence acute infarct, encephalitis, or intracranial abscess, although the evaluation is limited by the lack of intravenous contrast.2. Scattered paranasal sinus mucosal thickening may represent sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.