Unexplained LOC, or seizures, also memory loss History: LOC, memory loss. There is an area of encephalomalacia in the anterior left frontal lobe. There are mild scattered foci of cerebral and pontine white matter T2 hypertensity. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. There is diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1. Encephalomalacia in the anterior left frontal lobe may represent sequela of prior infarction or trauma. 2. Mild scattered foci of cerebral and pontine white matter T2 hypertensity are nonspecific, but may represent chronic small vessel ischemic disease. 3. Diffuse cerebral volume loss without a specific pattern to suggest a particular neurodegenerative process.4. No evidence of intracranial hemorrhage, mass, or acute infarct. 