Unspecified epilepsy without mention of intractable epilepsy [345.90], Reason for Study: ^Reason: focal lesion History: right abd pain Brain MRINo evidence of acute ischemic or hemorrhagic lesion.There is about 7 mm sized focal patchy enhancing lesion on the right cerebellar hemisphere (series 3801, image 27/80). Possibility of this lesion include capillary telangiectasia, small developmental venous anomaly or an artifact. 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, restricted diffusion/acute ischemia. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.C-spine MRIThe cranial-cervical junction is normal. There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. There are 12 mm x 15 mm sized right thyroid gland mixed intensity lesion as well as about 4 mm sized multiple centimeters nodular lesions on the left thyroid gland. Further investigations using ultrasound examination may need to be considered.There is no evidence of abnormal enhancement, cord compression or mass. Minimal bulging of disc C5-6 and C6-7 were seen without evidence of spinal canal stenosis or neuroforaminal stenosis.T-Spine MRIThere is normal thoracic kyphosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass.
1. No evidence of acute ischemic or hemorrhagic lesion.2. Right cerebellar hemisphere patchy enhancing lesion diagnostic possibilities include capillary telangiectasia, developmental venous anomaly or an artifact.3. Normal cervical and thoracic MRI.4. Multiple variable sized thyroid nodules as described above, further imaging evaluation using ultrasound can be considered if clinically indicated.