21-year-old female with remote seizure history, CVA at 3 years of age with residual left-sided weakness. Presenting with bilateral dizziness, syncope. No neck pain. Rule out bleed. The patient is status post right frontal craniotomy with areas of encephalomalacia in the right frontal lobe and right basal ganglia. When accounting for difference in technique, these appear grossly similar to the prior MRI examination from 7/12/2007. There is ex vacuo dilatation of the right lateral ventricle. The ventricles appear mild to moderately dilated. There is no evidence of intracranial hemorrhage.The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Postoperative findings. No acute intracranial abnormality is noted.