Tuberous sclerosis with SEGAs: worsened headache. There are stigmata of tuberous sclerosis complex, including multiple "cortical tubers" and subependymal nodules. In particular, there is no significant interval change in size of the nodule in the left foramen of Monro region, which measures up to 16 mm or the nodule in the right foramen of Monro region, which measures up to 14 mm. The ventricles are unchanged in size and configuration. There is no evidence of intracranial hemorrhage or acute infarct. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is a right maxillary sinus retention cyst.
Unchanged stigmata of tuberous sclerosis complex, including the bilateral subependymal giant astrocytomas.