Unspecified epilepsy without mention of intractable epilepsy [345.90], Reason for Study: ^Reason: evaluate of seizures History: recurrent seizures There is no evidence of acute ischemic or hemorrhagic lesion on the scan.There is no evidence of abnormal enhancement.There is focal tissue loss on the left basal ganglia with peripheral susceptibility artifacts indicating prior hemorrhagic lesion. There are multiple tissue losses on the right upper pons and bilateral external capsules with susceptibility artifacts indicating prior hemorrhagic lesions. In addition, there are multifocal nodular scattered susceptibility lesions indicating either small punctate hemorrhagic foci or mineralizations. Underlying brain shows diffuse mild brain atrophy which is age appropriate and patchy high signal intensities on bilateral periventricular white matter indicating non specific small vessel disease.The ventricles, sulci and cisterns are symmetric and unremarkable. 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.
1. Multifocal prior hemorrhagic lesions including left basal ganglia and bilateral external capsule with tissue losses as described above.2. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.