Two month progressive onset of intermittent mutism, social withdrawal, and minimally interactivity. Additional acute onset of borderline delusional content. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is a cluster of high T2 signal in the right parietal deep and periventricular white matter. The ventricles and basal cisterns are normal in size and configuration. 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.
A cluster of high T2 signal in the right parietal deep and periventricular white matter is nonspecific. Otherwise, no evidence of acute intracranial hemorrhage, mass, or acute infarct.