Seizure, evaluate for infection MRI brain:T2 hyperintense T1 hypointense lesion at the gray-white junction of the left superior frontal gyrus has not significantly changed in size now measuring 1.4 x 1.2 cm (image 29, series 7). There is again no internal enhancement within this lesion, with an adjacent vessel again noted. There is no surrounding signal abnormality to suggest edema.No diffusion restriction is seen to suggest acute ischemia. No abnormal areas of enhancement are seen. The CSF spaces are appropriate for the patient's stated age with no midline shift. Normal vascular flow voids are present in the major intracranial vasculature.Moderate to severe mucosal thickening is seen throughout the paranasal sinuses. The mastoid air cells and middle ears are partially opacified. These findings are new from the prior study. The visualized portions of the orbits are intact.Nasogastric tube is seen in place with fluid filling the nasopharynx.MRV brain:The intracranial dural sinuses are patent without evidence of thrombosis.
1.No change in left superior frontal gyrus lesion.2.Moderate to severe mucosal thickening of the paranasal sinuses with partial opacification of the mastoid air cells and middle ears.3.No evidence of dural sinus thrombosis.