Diagnosis: Unspecified epilepsy without mention of intractable epilepsyClinical question: h/o seizures since childhood. R/O structural lesionSigns and Symptoms: Seizure disorder The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. Additionally there are a couple punctate hyperintense T2 and FLAIR sequences lesions present in the brainstem and the right external capsule.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 mild mucosal thickening in the left ethmoid air cells. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There is diffuse calvarial thickening.
1.Periventricular and subcortical white matter changes of a mild (several) degree are nonspecific. They are most likely vascular related. Additionally there is a mild (several) degree of punctate lesions in the brainstem and right external capsule which similarly are nonspecific but most likely vascular related.2.Calvarial thickening is a nonspecific finding