Female, 38 years old, with neurofibromatosis type I and seizure-like activity. Numerous small foci of periventricular and subcortical white matter T2 hyperintensity are seen without significant change from the prior exam. No mass effect or parenchymal edema is seen. No pathologic parenchymal or extra-axial enhancement is detected.There is no evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection. The ventricles are normal in size and morphology.Although not a dedicated orbital examination, no abnormalities of the optic apparatus are suspected.Bone marrow signal characteristics are within normal limits. Several superficial enhancing lesions within the scalp are unchanged.
1.Numerous foci of white matter signal abnormality are seen without significant change from prior examination. These are nonspecific and may be related to patient's diagnosis of neurofibromatosis.2.No additional intracranial masslike lesions are seen. No other specific etiology for the patient's seizures is detected.3.Stable enhancing lesions in the scalp may represent neurofibromas.