Diagnosis: Unspecified convulsionsClinical question: first time seizure with hx/o developmental delay - please assess for structural abnormalitiesSigns and Symptoms: seizure, developmental delayComments: Please obtain peds MR Brain wo and seizure 2 protocol | The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 mild mucosal thickening in the paranasal sinuses but mostly in the right maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.A punctate focus of signal hypointensity is present in the right thalamus on susceptibility weighted imaging and probably represents an old microhemorrhage.
There is an isolated microhemorrhage in the right thalamus. There is no intracranial mass lesion to explain patient's seizures.