Developmental disorder of speech and language, unspecified [F80.9], Reason for Study: ^Reason: evaluate for atrophy, concern for primary progressive aphasia History: effortful speech, paraphasic errors, paucity of speech There is no evidence of acute ischemic or hemorrhagic lesion.There are localized encephalomalacia at both middle and inferior temporal gyri of the left temporal lobe.Multifocal scattered FLAIR/T2 high signal intensities on bilateral periventricular white matter and the centrum semiovale indicating nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, or restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Retention cysts are seen on the right maxillary sinus.There is well circumscribed scalp mass lesion [22.9mm(CC)x20.8mm(RL)x8.3mm(AP)] indicating lipoma.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Encephalomalacia on the left middle and inferior temporal gyri.3. Minimal non specific small vessel ischemic disease.