46 years Male (DOB:9/26/1970)Reason: seizure eval History: seizure-like eventsPROVIDER/ATTENDING NAME: NAOUM ISSA NAOUM ISSA No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The cerebellum is relatively small and atrophic. There is a lesion at the junction of the right cerebellar hemisphere in the middle cerebellar peduncle measuring 9 x 5 mm which follows spinal fluid on all pulse sequences.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 demonstrate mucosal thickening in the maxillary sinuses - left more than right - and some mucosal thickening in the ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Cerebellar atrophy2.A small lesion at the junction of the right middle cerebellar peduncle and cerebellar hemisphere is likely related to a small focus of encephalomalacia or a perivascular space.3.There is no evidence for intracranial mass lesion.