24 years Female (DOB:8/25/1992)Reason: seizure evaluation - presurgical assessment History: intractable epilepsy, right fronto-temporalPROVIDER/ATTENDING NAME: NAOUM P ISSA JAMES X TAO The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 13 x 8 mm axial dimension focus of diffusion restriction in the splenium of the corpus callosum which is bright on FLAIR and slightly hypointense on T1 imaging.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 some mucosal thickening along the floor of the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is a somewhat nonspecific lesion within the splenium of the corpus callosum which is suspicious for (but not conclusive for) subacute infarction. Other differential considerations include inflammatory reaction due to other cause (viral infection metabolic) and trauma. Please correlate with clinical symptoms.