Epilepsy, unspecified, not intractable, without status epilepticus [G40.909], Reason for Study: ^Reason: Seizures-evaluate for structural cause History: seizures 22 years Female (DOB:8/28/1994)Reason: Seizures-evaluate for structural cause History: seizuresPROVIDER/ATTENDING NAME: SANDRA L ROSE SANDRA L ROSE There is a focal susceptibility lesion at the mid Pons which is connected with a linear signal void. Subtle T2/FLAIR high signal intensity are seen around the susceptibility lesion. There is no associated diffusion restriction. There is no evidence of T1 high signal intensity.Constellation of above findings indicate possible focal cavernous malformation associated with developmental venous anomaly. Differential diagnosis include petechial chronic pontine hemorrhage, mineralization or capillary telangiectasia. Possibility of brain AVM is remote.Gadolinium enhanced brain MRI can be considered for further imaging evaluation if clinically indicated.No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in major intracranial arterial system.Complete opacification of the right maxillary sinus and a couple of retention cysts on the left maxillary sinus are seen.The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1. Focal susceptibility lesion associated linear signal void at mid pons without evidence of surrounding edema or mass effects. Differential diagnosis include cavernous malformation with DVA, capillary telangiectasia, chronic petechial hemorrhage or mineralization.2. No acute ischemic lesion.MRI of the brain is within normal limits