Clinical question to be answered: Rule-out intracranial process. Signs and symptoms: Seizure. Prominence of cortical sulci and ventricular system for patient's stated age is again identified and the great normal change.A nonspecific small new area of low-attenuation in the subcortical white matter of left frontal lobe is noted. The finding may represent edema. There is however no detectable mass effect with this finding. The exact etiology of finding is not clear. Further evaluation with an infused MRI is recommended. This examination is otherwise unremarkable. Calvarium, paranasal sinuses and mastoid vessels are also unremarkable.
1.Prominence of cortical sulci and ventricular system for patient's stated age as was noted on prior examination from 2007.2.Nonspecific focal area of low-attenuation in the subcortical white matter of left frontal lobe which needs further evaluation with an infused MRI examination.3.Unremarkable calvarium, paranasal sinuses and mastoid air cells.