Diagnosis: Unspecified convulsions Human immunodeficiency virus (HIV) diseaseDiagnosis Edits: |Clinical question: Pt w/ h/o HIV presenting w/ seizures. Assess for mass lesion or any other possible causesSigns and Symptoms: SeizuresComments: Patient states that he previously had pins placed in his foot. He believes that they have been removed. He states that he has had an MRI since that surgery w/o incident | Given the patient's stated age of 42 there is a mild degree of generalized brain atrophy present. There are some subtle FLAIR and T2 signal hyperintensity along the periventricular white matter. There are also several subcortical punctate foci of FLAIR and T2 signal hyperintensity present.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.There is mild degree of generalized brain atrophy present which is a little more than what is expected at this age. Given the patient's HIV status and may be related to HIV encephalitis.2.There is some mild FLAIR and T2 signal hyperintensity along the periventricular white matter. Which is nonspecific